| NPI | 1881731891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOSEPH PIJUT President 850-216-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: FL DN0013681) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-12-10 |