| NPI | 1386668051 |
|---|---|
| Doing Business As | THE DENTISTRY AT VETERANS PARK |
| Entity Type | Organization |
| Authorized Contact | JOHN PETER CANCELLIERE Dentist/Owner 239-566-2422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN15942) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN9163) |
| 1223P0300X Dentist, Periodontics (Licence: FL DN9217) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-02-23 |