NPI | 1285971846 |
---|---|
Doing Business As | ELDERCARE ORAL HEALTH |
Entity Type | Organization |
Authorized Contact | KRISTIN ELIZABETH OUTLAN Owner/Manager/Dentist 239-289-2881 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 13540) |
Enumeration Date | 2013-01-15 |
Last Update Date | 2013-01-15 |