NPI | 1003101437 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN M ARENA President 239-234-6368 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14254) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2011-09-02 |