| NPI | 1811152002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGERY FLOYD FRIDAY Dds 239-340-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS3422) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN8159) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2010-02-19 |