| NPI | 1386044790 |
|---|---|
| Other Name | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BETH KAILES Owner 904-215-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL 16753) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |