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Organization
PRESTIGE DENTAL
Active
Organization
PRESTIGE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH MARGARETHA SIMPSON (DATA INPUT)
(941) 918-1416
Entity
Organization
Contact information
Practice address
8408 S TAMIAMI TRL, SARASOTA, FL 34238-2936
(941) 918-1416
(941) 918-9726
Mailing address
8408 S TAMIAMI TRL, SARASOTA, FL 34238-2936
(941) 918-1416
(941) 918-9726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN13189
FL
1223G0001X
General Practice Dentistry
Primary
DN16207
FL
Other
Enumeration date
02/17/2007
Last updated
06/28/2010
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