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Organization
R DUSTIN DIXON DMD HOLDINGS, PLLC
Active
Organization
R DUSTIN DIXON DMD HOLDINGS, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MIKA WEISS (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1602 CORTEZ RD W, BRADENTON, FL 34207-1440
(315) 454-6000
Mailing address
12019 GRANITE WOODS LOOP, VENICE, FL 34292-4138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19229
FL
Other
Enumeration date
11/28/2014
Last updated
12/24/2014
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