| NPI | 1508311952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOGSDON Endodontist 407-890-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 19892) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |