Individual
EMILY PLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9250 COLLEGE PKWY STE 1, FORT MYERS, FL 33919-4847
(239) 437-4014
Mailing address
9250 COLLEGE PKWY STE 1, FORT MYERS, FL 33919-4847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D22119
FL
Other
Enumeration date
02/10/2016
Last updated
05/11/2017
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