| 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 |