| NPI | 1629108626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ROGER HEALD Dentist 239-368-5679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL 13690) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2016-09-13 |