| NPI | 1679992408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JOSEPH MORGAN Pediatric Dentist/Owner 772-360-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL 19243) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |