NPI | 1790947984 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL HAROLD MCMILLAN President 239-549-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 9676) |
Enumeration Date | 2008-06-28 |
Last Update Date | 2008-06-28 |