| NPI | 1679972665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L LESS VP Of Operations 904-998-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN15716) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2015-01-26 |