| NPI | 1780866996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M. GREENHILL Owner/President 239-936-4757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN10058) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2011-08-02 |