| NPI | 1407978851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. MICHAEL PAPADELIAS President 850-492-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10124) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |