| NPI | 1538291257 |
|---|---|
| Doing Business As | SUMMIT DENTAL |
| Entity Type | Organization |
| Authorized Contact | NAN HERRON MULLINS President 850-477-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN9684) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-03-26 |