| NPI | 1316433840 |
|---|---|
| Doing Business As | BREVARD ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | PHIL GRAVES Chief Operations Officer 321-622-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |