| NPI | 1215693551 |
|---|---|
| Doing Business As | EVERGLADES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | THOMAS CROWGEY President 276-613-0798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |