NPI | 1639391725 |
---|---|
Former Legal Business Name | VALENTINE DENTAL |
Entity Type | Organization |
Authorized Contact | MEAGHAN DANIELLE VALENTINE Office Manager 239-398-4410 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-04-10 |