| NPI | 1548371545 |
|---|---|
| Doing Business As | THE DENTIST PLACE |
| Entity Type | Organization |
| Authorized Contact | WANDA SIRMONES Office Manager 904-268-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 08140) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |