# MODERN SMILE DESIGN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114834876
- **Authorized official:** LAUREN RAKHLIN DONTSOVA (OFFICE MANAGER)
- **Authorized official phone:** (941) 231-8121

## Contact information

- **Practice address:** 3900 CLARK RD BLDG Q, SARASOTA, FL 34233-2382
- **Practice address phone:** (941) 231-8121
- **Mailing address:** 3900 CLARK RD BLDG Q, SARASOTA, FL 34233-2382
- **Mailing address phone:** (941) 231-8121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2026
- **Last updated:** 08/26/2026