NPI | 1962870147 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY NGUYEN LE Dentist/Owner 850-532-7815 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn20335) |
Enumeration Date | 2015-09-04 |
Last Update Date | 2016-07-15 |