MODERN DENTAL CAPE CORAL PLLC

CAPE CORAL, FL
NPI1437785847
Entity TypeOrganization
Authorized ContactTYLER M BLACKENBURG
Periodontist
954-736-7924
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223P0300X Dentist, Periodontics
Enumeration Date2020-03-17
Last Update Date2020-03-17
Business Address
MODERN DENTAL CAPE CORAL PLLC
706 SW PINE ISLAND RD SUITE 103
CAPE CORAL, FL 33991
Phone number: 941-610-6200
Mailing Address
MODERN DENTAL CAPE CORAL PLLC
14575 TAMIAMI TRL STE A
NORTH PORT, FL 34287-2743
Phone number: 941-888-2362