Organization
FAMILY & COSMETIC DENTISTRY
Active
Other names
Brett Vartdal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT A VARTDAL DMD (PRESIDENT)
(239) 540-2020
Entity
Organization
Contact information
Practice address
331 CAPE CORAL PKWY W, SUITE A, CAPE CORAL, FL 33914-5977
(239) 540-2020
(239) 540-8293
Mailing address
331 CAPE CORAL PKWY W, SUITE A, CAPE CORAL, FL 33914-5977
(239) 540-2020
(239) 540-8293
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366686677
NPI
FL
01
—
1912089657
NPI
—
Enumeration date
08/18/2014
Last updated
08/18/2014
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