| NPI | 1528618071 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF ORANGE PARK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES THOMASINO Owner 904-586-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |