Organization
HERITAGE DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURNACE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
7011 CYPRESS TER STE 101, FORT MYERS, FL 33907-8800
(239) 433-5001
Mailing address
7011 CYPRESS TER STE 101, FORT MYERS, FL 33907-8800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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