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Organization
LEFTY GOLF, INC.
Active
Organization
LEFTY GOLF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ADAMS GREIDER DMD (OWNER)
(239) 267-5000
Entity
Organization
Contact information
Practice address
18070 S TAMIAMI TRL, 101, FORT MYERS, FL 33908-4602
(239) 267-5000
Mailing address
18070 S TAMIAMI TRL, 101, FORT MYERS, FL 33908-4602
(239) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/07/2015
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