| NPI | 1316788359 |
|---|---|
| Doing Business As | LOFTON CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | PETER KELLY Owner 407-432-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |