| NPI | 1780996181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J HARVEY President 386-752-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN14078) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |