| NPI | 1215227319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE A GALE Sole Proprietor 239-936-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: FL DN8521) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-18 |