| NPI | 1356744254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW P TAYLOR Dentist 850-478-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2019-10-07 |