| NPI | 1912086802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MIHALCIK President 850-678-2184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN0006211) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |