| NPI | 1639543895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REESE RUDER Co Owner 850-624-9717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20813) |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |