| Dental Care At Grande Oak | |
|
20330 Grande Oak Shoppes Blvd Unit 101 Estero FL 33928-7663 | |
| (239) 319-3611 | |
| Not Available |
| Full Name | Dental Care At Grande Oak |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20330 Grande Oak Shoppes Blvd Unit 101, Estero, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Grande Oak 20330 Grande Oak Shoppes Blvd Unit 101 Estero FL 33928-7663 Ph: (239) 319-3611 | Dental Care At Grande Oak 20330 Grande Oak Shoppes Blvd Unit 101 Estero FL 33928-7663 Ph: (239) 319-3611 |
| NPI Number | 1275021362 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275021362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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