Organization
ISLAND TOWER DENTISTRY PA
Active
Other names
Island Tower Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN VAN DYKE DMD, MA (DENTIST)
(239) 394-1004
Entity
Organization
Contact information
Practice address
606 BALD EAGLE DR STE 200, MARCO ISLAND, FL 34145-2731
(239) 394-1004
Mailing address
606 BALD EAGLE DR STE 200, MARCO ISLAND, FL 34145-2731
(239) 394-1004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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