| NPI | 1306900113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT WILEY JONES Preident 904-786-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn11622) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |