| NPI | 1245709641 |
|---|---|
| Doing Business As | NAPLES PERIODONTIST |
| Entity Type | Organization |
| Authorized Contact | KENDRA WALKER Enrollment Team Lead 217-540-8513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-05-02 |