| NPI | 1346493376 |
|---|---|
| Other Name | MICHAEL GAGAOUDAKIS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL E GAGAOUDAKIS President 904-686-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn17757) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |