| Bonita Springs Edc Management Llc | |
|
24830 S Tamiami Trl Ste 1000 Bonita Springs FL 34134-7031 | |
| (402) 658-4687 | |
| Not Available |
| Full Name | Bonita Springs Edc Management Llc |
|---|---|
| Speciality | Dentist |
| Location | 24830 S Tamiami Trl Ste 1000, Bonita Springs, Florida |
| Authorized Official Name and Position | Michael Obeng (OWNER) |
| Authorized Official Contact | 4023932726 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Springs Edc Management Llc 4267 S 144th St Ste 7 Omaha NE 68137-1053 Ph: (402) 393-2726 | Bonita Springs Edc Management Llc 24830 S Tamiami Trl Ste 1000 Bonita Springs FL 34134-7031 Ph: (402) 658-4687 |
| NPI Number | 1861103731 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861103731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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