| NPI | 1487462081 |
|---|---|
| Doing Business As | TOOTH39 DENTAL |
| Entity Type | Organization |
| Authorized Contact | RUBEN LEONARDO KREBS Owner 239-258-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |