| NPI | 1083492664 |
|---|---|
| Doing Business As | GREY OAK DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE QUINTERO Owner/Dentist 407-718-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |