| NPI | 1336651082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL D COHEN President 239-351-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN20441) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: FL DN16843) |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |