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 |