| NPI | 1538592852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES YODER President 904-673-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN19044) |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2013-08-15 |