NPI | 1093035727 |
---|---|
Doing Business As | MAIN STREET CHILDREN'S DENTISTRY OF CAPE CORAL |
Entity Type | Organization |
Authorized Contact | MELVYN GOBER CEO 305-274-2499 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2010-06-04 |
Last Update Date | 2012-07-10 |