| NPI | 1972174720 |
|---|---|
| Doing Business As | THE MAIN STREET DENTISTS, PLLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN W GEORGE Manager 352-787-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-07-12 |