| NPI | 1649152471 | 
|---|---|
| Doing Business As | PAGE FAMILY DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | GREGORY QUATTLEBAUM Managing Member 239-263-2122 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2025-07-23 | 
| Last Update Date | 2025-07-23 |