| NPI | 1417066275 |
|---|---|
| Doing Business As | FAIRFIELD DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA S MCLAMB Insurance Dept 850-456-9201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2012-12-10 |