| NPI | 1548903339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FARRUGIA Pc Holder 850-343-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |