NPI | 1326419474 |
---|---|
Doing Business As | GORDY FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | CHANEY BRUCE GORDY Owner 407-422-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN8095) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2015-10-15 |