NPI | 1215081369 |
---|---|
Doing Business As | LEE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | SCOTT M BAKOS President 239-936-3436 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn9533) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL dn14878) |
1223G0001X Dentist, General Practice (Licence: FL dn16220) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |