| NPI | 1295006641 |
|---|---|
| Doing Business As | HIGHLANDS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A MARTIN President 863-709-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN18829) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |