| NPI | 1295275964 |
|---|---|
| Former Legal Business Name | NORTH PORT ORAL SURGERY INC. |
| Entity Type | Organization |
| Authorized Contact | MARK CHRIS BURNE CEO/Owner 941-223-7228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN18166) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |