Northern Dental General and Cosmetic Dentistry LLC

NPI #1164877395 in Naples, Florida

Provider Information

NPI Number: 1164877395
Entity Type: Organization
Organization Name: Northern Dental General and Cosmetic Dentistry LLC
Primary Specialty: Dentist
Enumeration Date: Apr 25, 2016
Last Updated: Apr 25, 2016

Practice Location

Address: 5651 NAPLES BLVD
City: Naples
State: Florida
ZIP Code: 34109-2023
Phone: (239) 431-5666

Authorized Official

Name: SHANNON NOVAK
Title: MANAGER
Phone: (239) 431-5666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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