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Organization
MY SMILE DENTAL INC DBA ADVANTAGE DENTAL CARE
Active
Organization
MY SMILE DENTAL INC DBA ADVANTAGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA MALLERY DDS (OWNER)
(941) 748-9393
Entity
Organization
Contact information
Practice address
520 48TH STREET CT E, BRADENTON, FL 34208-5508
(941) 748-9393
(941) 748-9696
Mailing address
520 48TH STREET CT E, BRADENTON, FL 34208-5508
(941) 748-9393
(941) 748-9696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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