| NPI | 1336449545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D MCALPIN General Dentist 904-269-1048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18278) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN8008) |
| 1223G0001X Dentist, General Practice (Licence: FL DN10773) | |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |