NPI | 1811032477 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES F WHITE Owner Doctor 850-477-3485 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL FL#DN4041) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2020-08-22 |