| NPI | 1548347529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY R. RICHMOND President 850-476-6894 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 11346) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-01-30 |