| NPI | 1457881922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. KANE Dir. 239-657-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN17673) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |