NPI | 1619646106 |
---|---|
Doing Business As | PALMETTO DENTAL CARE INC |
Entity Type | Organization |
Authorized Contact | WALTER SIMBACO Owner/General Dentist 786-257-1646 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-09-08 |
Last Update Date | 2021-09-08 |