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 |