| NPI | 1457561672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY R. SLOTTEN Dentist Owner 386-328-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10163) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |