NPI | 1164267910 |
---|---|
Doing Business As | AFFORDABLE DENTURES & IMPLANTS- PORT ST LUCIE |
Entity Type | Organization |
Authorized Contact | DANIEL M FENTON Owner 772-398-7790 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-06-25 |
Last Update Date | 2024-06-25 |