| NPI | 1568621621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOYIA CHENISE LUNN Office Manager 850-309-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN10204) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |