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Organization
SRQ GROUP, INC
Active
Organization
SRQ GROUP, INC
Active
Other names
srqDENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GILLELAND (PRESIDENT)
(941) 966-4414
Entity
Organization
Contact information
Practice address
1878 STICKNEY POINT RD, SARASOTA, FL 34231-8847
(941) 966-4414
Mailing address
1878 STICKNEY POINT RD, SARASOTA, FL 34231-8847
(941) 966-4414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12904
FL
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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