| NPI | 1306068044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH B MCCAFFREY President 239-947-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 16993) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |