| NPI | 1417294695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J HODGES President 850-478-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19460) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |