NPI | 1285970335 |
---|---|
Doing Business As | SRQDENTISTRY |
Entity Type | Organization |
Authorized Contact | SUSAN GILLELAND President 941-966-4414 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 12904) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2012-12-18 |