NPI | 1770940769 |
---|---|
Doing Business As | WILDWOOD DENTISTS |
Entity Type | Organization |
Authorized Contact | KATIE L MCCANN Owner Dentist 352-418-3041 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-01-21 |
Last Update Date | 2016-06-07 |