NPI | 1326754128 |
---|---|
Doing Business As | MY DENTISTS OF PORT ST LUCIE |
Entity Type | Organization |
Authorized Contact | JORDAN TOMALTY Owner 561-633-9676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-01-25 |
Last Update Date | 2023-01-25 |