NPI | 1740722487 |
---|---|
Doing Business As | FOUR TOWN DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MICHAEL ANGELO SCIALABBA Chief Clinical Officer 561-512-2709 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2016-11-11 |
Last Update Date | 2021-06-21 |