# RYAN S. HOLBROOK, DMD, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134886062
- **Authorized official:** DR. RYAN HOLBROOK DMD (OWNER/DENTIST)
- **Authorized official phone:** (941) 484-3885

## Contact information

- **Practice address:** 200 CAPRI ISLES BLVD UNIT 1A, VENICE, FL 34292-2335
- **Practice address phone:** (941) 484-3885
- **Mailing address:** 5565 NEW COVINGTON DR, SARASOTA, FL 34233-5212
- **Mailing address phone:** (574) 265-9507

## Taxonomy

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

## Other

- **Enumeration date:** 11/28/2021
- **Last updated:** 11/28/2021
