NPI | 1528366077 |
---|---|
Doing Business As | SOUTHPOINT DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL RALPH MOORE Owner 904-296-3383 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 7308) |
Enumeration Date | 2011-03-08 |
Last Update Date | 2013-04-18 |