Organization
IMMOKALEE DENTAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. KANE D.M.D. (DIR.)
(239) 657-7007
Entity
Organization
Contact information
Practice address
1013 W. MAIN ST., UNIT 6A, IMMOKALEE, FL 34142
(239) 657-7007
Mailing address
1013 W. MAIN ST., UNIT 6A, IMMOKALEE, FL 34142
(239) 657-7007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17673
FL
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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