| NPI | 1609278068 |
|---|---|
| Former Legal Business Name | PELICAN DENTAL, PLLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM ERIC SACKHEIM Owner Dentist 850-476-2602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18697) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-07-24 |