| NPI | 1144629031 |
|---|---|
| Doing Business As | BRETT VARTDAL |
| Entity Type | Organization |
| Authorized Contact | BRETT A VARTDAL President 239-540-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN13901) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |