Organization
HORIZON ONE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT M BAKOS D.D.S., P.A (PART OWNER)
(239) 267-7385
Entity
Organization
Contact information
Practice address
8004 SUMMERLIN LAKES DR, FORT MYERS, FL 33907-1817
(239) 267-7385
Mailing address
8004 SUMMERLIN LAKES DR, FORT MYERS, FL 33907-1817
(239) 267-7385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1295928851
FL
1223G0001X
General Practice Dentistry
Primary
1861685158
FL
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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