NPI | 1598062978 |
---|---|
Doing Business As | JACKSONVILLE DENTAL SLEEP MEDICINE |
Entity Type | Organization |
Authorized Contact | MITCHELL LEVINE President 904-737-4626 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL DN10789) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
Enumeration Date | 2011-02-20 |
Last Update Date | 2011-04-12 |