| NPI | 1518359843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIMMONS DOZIER President 850-878-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL 8683) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |