| NPI | 1669642641 |
|---|---|
| Doing Business As | COLONIAL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DEIRDRE M CAMPBELL Owner 239-936-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN16533) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |