| NPI | 1023144987 |
|---|---|
| Other Name | SOUTHWEST FLORIDA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIC W BAXMANN Owner 239-489-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN14825) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-06-20 |