| NPI | 1710907191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH E ANNAND Office Manager 850-926-7151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0006229) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-09-10 |