Organization
DENTAL SLEEP MEDICINE OF SOUTHWEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PHILLIP KRAVER D.D.S. (OWNER/DENTIST)
(239) 549-8921
Entity
Organization
Contact information
Practice address
3001 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7208
(239) 549-8921
Mailing address
3001 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7208
(239) 549-8921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11408
FL
1223G0001X
General Practice Dentistry
19091
FL
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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