| NPI | 1366067282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT V LAW Owner/President 850-477-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-01-22 |