| NPI | 1740403138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY THOMAS PIOTROWSKI Officer 239-263-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN15584) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |