| NPI | 1861872053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK J ECK Doctor/ Owner 239-992-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN15395) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-04 |