| NPI | 1750115424 |
|---|---|
| Doing Business As | COLUMBIA DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | CARLOS MEDINA Dentist 386-717-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |