| NPI | 1578646527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON M MEMON Dentist 239-464-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: FL DN-17261) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |