| NPI | 1831463017 |
|---|---|
| Doing Business As | SOUTHPOINT COSMETIC & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOSE M MARTINEZ Owner/President 904-296-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 13951) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |