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 |