| NPI | 1992713911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS JOSEPH DERMODY President 772-562-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN13774) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |