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Organization
TWO RIVERS FAMILY DENTAL LLC
Active
Organization
TWO RIVERS FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES ALBERTO DMD (MANAGER)
(786) 247-4916
Entity
Organization
Contact information
Practice address
515 27TH ST E STE 6, BRADENTON, FL 34208-1879
(941) 253-0175
Mailing address
5509 69TH PL E, ELLENTON, FL 34222-2627
(786) 247-4916
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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