NPI | 1740326321 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE N PINKSTON President 863-686-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12541) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2017-09-12 |