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Organization
SHORE DENTAL, LLC
Active
Organization
SHORE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE SCHMITZ (PRACTICE ADMINISTRATOR)
(941) 474-9548
Entity
Organization
Contact information
Practice address
4901 WHITE IBIS DRIVE, NORTH PORT, FL 34287
(941) 474-9548
Mailing address
1861 PLACIDA RD STE 105, ENGLEWOOD, FL 34223-4900
(941) 474-9548
(941) 475-6745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
FL
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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