| NPI | 1558757526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WESTBERRY Dentist/Owner 386-423-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 10078) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-09-02 |