| NPI | 1932719960 |
|---|---|
| Doing Business As | 904 DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DHAVAL Y SHAH Member 904-425-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |