| NPI | 1407610710 |
|---|---|
| Doing Business As | 1OAK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EMILY VAN PELT Office Manager 239-688-2780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |