| NPI | 1417791187 |
|---|---|
| Doing Business As | PLATOCK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LESLIE G PLATOCK Dentist 904-247-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |