NPI | 1720511173 |
---|---|
Doing Business As | CONTEMPORARY FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JESSICA ANN HENDERSON Dentist/Owner 407-247-1497 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |