| NPI | 1972500908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. FRANK Orthodontist 904-398-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN 0007489) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2009-09-16 |