| NPI | 1740355007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L. GEAR Owner 239-369-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: FL 14853) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-10-07 |