| NPI | 1770062465 |
|---|---|
| Doing Business As | PALM BAY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ANNETTE MARLOW Credentialing Supervisor 321-725-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |