| NPI | 1730793720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ENGLE Dentist 239-593-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |