| NPI | 1922253541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BROWN President/Dentist 386-677-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL D7894) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |