| NPI | 1467452151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALARBI Clinic Director 904-256-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DTP449) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2011-01-25 |