| NPI | 1861002826 |
|---|---|
| Doing Business As | CALOOSA DENTAL |
| Entity Type | Organization |
| Authorized Contact | MINDY GARCIA Office Manager 239-369-5897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-10-07 |