| NPI | 1467044198 |
|---|---|
| Doing Business As | BREVARD ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | PHIL GRAVES Operations/Business Manager 321-622-0440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |