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Organization
MEADOWS ADULT DENTAL SERVICES SR 64 LLC
Active
Organization
MEADOWS ADULT DENTAL SERVICES SR 64 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE J MEADOWS JR. DMD (MANAGING MEMBER)
(941) 745-1143
Entity
Organization
Contact information
Practice address
9916 E STATE ROAD 64, BRADENTON, FL 34212-5303
(941) 745-1143
(941) 708-0555
Mailing address
9916 E STATE ROAD 64, BRADENTON, FL 34212-5303
(941) 745-1143
(941) 708-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
1223P0221X
Pediatric Dentistry
—
FL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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