| NPI | 1326189010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A. SHARP Pres. 904-998-7707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 9910) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |