NPI | 1326417908 |
---|---|
Doing Business As | SARASOTA COMPLETE DENTAL |
Entity Type | Organization |
Authorized Contact | HEATHER PRUEMER Insurance/Credentialing 217-540-8434 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-09-24 |
Last Update Date | 2015-09-24 |