| NPI | 1336686161 |
|---|---|
| Doing Business As | BANANA RIVER DENTAL |
| Entity Type | Organization |
| Authorized Contact | RYAN COLLINS Manager 321-777-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2025-08-26 |