| NPI | 1821563149 |
|---|---|
| Doing Business As | MADISON GREEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEAN TOMALTY President 561-789-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |