| NPI | 1912086265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRUCE HAMMOND President 386-258-1940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 4603) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |