Organization
BONITA SPRINGS EDC MANAGEMENT LLC
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OBENG (OWNER)
(402) 393-2726
Entity
Organization
Contact information
Practice address
24830 S TAMIAMI TRL STE 1000, BONITA SPRINGS, FL 34134-7031
(402) 658-4687
Mailing address
4267 S 144TH ST STE 7, OMAHA, NE 68137-1053
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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