| NPI | 1679646830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY D MCDOWELL Owner President 561-746-0248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN11646) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2009-08-24 |