| NPI | 1215164272 |
|---|---|
| Doing Business As | DENTAL EXCELLENCE OF ENGLEWOOD |
| Entity Type | Organization |
| Authorized Contact | ALEXEI MIKERIN President 941-266-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 15210) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2012-10-23 |