| NPI | 1487496337 |
|---|---|
| Former Legal Business Name | DENTAL DISCOVERY, PA |
| Entity Type | Organization |
| Authorized Contact | IGOR GERMAN CEO 352-336-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |