NPI | 1568045490 |
---|---|
Doing Business As | MARSH COVE DENTAL |
Entity Type | Organization |
Authorized Contact | EVGENY TITOV Dentist/Owner 352-727-2172 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-29 |
Last Update Date | 2021-04-29 |