| NPI | 1821432196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KEYES TOWNSEND Owner/Pediatric Dentist 850-830-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 8564) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |