| NPI | 1538274469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM B. NIPPER President 904-269-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DN 6934) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-08-12 |