| NPI | 1770776155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT R TOLLEY Oral Surgeon / Dentist 850-386-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL DN17462) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-03-27 |