| NPI | 1821768326 |
|---|---|
| Former Legal Business Name | BEULAH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PAUL QUINLAN Dentist/Managing Member 850-910-3840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |