| NPI | 1861162141 |
|---|---|
| Doing Business As | ISLAND'S EDGE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW MULLET General Dentist 904-461-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |