| Same Day Dental Pa | |
|
9312 La Bianco St Fort Myers FL 33967-5641 | |
| (860) 325-0022 | |
| Not Available |
| Full Name | Same Day Dental Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9312 La Bianco St, Fort Myers, Florida |
| Authorized Official Name and Position | Jong Um (PRESIDENT) |
| Authorized Official Contact | 8603250022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Same Day Dental Pa 9312 La Bianco St Fort Myers FL 33967-5641 Ph: (860) 325-0022 | Same Day Dental Pa 9312 La Bianco St Fort Myers FL 33967-5641 Ph: (860) 325-0022 |
| NPI Number | 1104204445 |
|---|---|
| Provider Enumeration Date | 05/06/2015 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104204445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN 20702 (Florida) | Primary |
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