| NPI | 1558467498 |
|---|---|
| Other Name | PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BARRY P SETZER Owner Co 904-733-7254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN6138) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN12667) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN13682) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |