NPI | 1407986532 |
---|---|
Doing Business As | GILMORE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOHN CONNALLY GILMORE President, Dentist 850-476-4283 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 6371) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2008-06-16 |