| NPI | 1447713169 |
|---|---|
| Doing Business As | JACKSONVILLE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AMANDA DAVIS Owner 256-371-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |