| NPI | 1114621513 |
|---|---|
| Doing Business As | GRAND OAKS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SIMON AMIR Owner 352-682-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |