| NPI | 1992345102 |
|---|---|
| Doing Business As | DILLARD STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | VIVEK NERIKAR Dmd Dentist Owner 904-553-4859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |