| NPI | 1154016178 |
|---|---|
| Doing Business As | ISLAND TOWER DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JONATHAN VAN DYKE Dentist 239-394-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2023-04-06 |