| NPI | 1831555739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY L JONES Owner 844-700-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20385) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |