| NPI | 1639599962 |
|---|---|
| Doing Business As | DAXON & GRUNDSET DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNETH GRUNDEST Partner 727-282-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 04596) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |