| NPI | 1568793727 |
|---|---|
| Doing Business As | SOUTHWEST FLORIDA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ERIC W. BAXMANN Owner/Dentist 239-489-1118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14825) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |