| NPI | 1932298338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNN GRIFFITH Owner/President 239-354-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN 15292) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |