| NPI | 1366834905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J CONGIUNDI President 850-969-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL 10468) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |