| NPI | 1194513135 |
|---|---|
| Doing Business As | CENTERGATE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RODOLFO IBARRIA Owner/Dentist 941-379-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |