| NPI | 1407630148 | 
|---|---|
| Doing Business As | NORTH FLORIDA DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | ASHLY SUNSHINE Credentialing Specialist 314-413-2803  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2023-08-23 | 
| Last Update Date | 2025-04-07 |