| NPI | 1083490221 |
|---|---|
| Doing Business As | MODERN DENTISTS OF CAPE CORAL |
| Entity Type | Organization |
| Authorized Contact | JORDAN TOMALTY Owner 561-633-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |