NPI | 1992214092 |
---|---|
Doing Business As | AIRPORT DENTAL |
Entity Type | Organization |
Authorized Contact | BRYAN I. GERSTENBERG Owner 850-477-8668 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN13732) |
Enumeration Date | 2017-09-21 |
Last Update Date | 2022-07-21 |