| NPI | 1306914759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMILLA ANAND Dentist 904-399-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0013665) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2008-06-24 |