NPI | 1649516766 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS FARRUGIA President 850-501-4146 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 9602) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |