NPI | 1306223888 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN M WOOLSEY Periodontist 850-678-6485 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN21004) |
Enumeration Date | 2015-05-04 |
Last Update Date | 2015-05-04 |