NPI | 1285277178 |
---|---|
Doing Business As | CORTEZ DENTAL |
Entity Type | Organization |
Authorized Contact | MELVIN B PRICE President & CEO 941-776-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-10-23 |
Last Update Date | 2023-11-27 |