| NPI | 1821746223 |
|---|---|
| Doing Business As | PALM RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | REEM JABER Owner 352-391-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |