NPI | 1396536603 |
---|---|
Doing Business As | JACKSONVILLE EMERGENCY DENTAL, PA |
Entity Type | Organization |
Authorized Contact | TIMOTHY MUSCARO Owner 813-692-2200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-05-15 |
Last Update Date | 2025-08-29 |