| NPI | 1376387027 |
|---|---|
| Doing Business As | 941 DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | JOSE LUIS ROQUE Owner General Dentist 941-822-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |