| NPI | 1518322023 |
|---|---|
| Doing Business As | FONTAINEBLEAU DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner 786-418-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2022-08-25 |