| NPI | 1760807333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L MORGAN Managing Partner 850-644-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 19433) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |