NPI | 1891958393 |
---|---|
Doing Business As | CALLAHAN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CRYSTAL LOVE LESS VP Of Operations 904-879-1893 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2008-07-03 |
Last Update Date | 2015-01-26 |