| NPI | 1639008139 |
|---|---|
| Doing Business As | FANTASTIC DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | QUEANH PHAN Owner/Dentist 239-250-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-05-19 |