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Organization
SEASIDE SMILES LLC
Active
Organization
SEASIDE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANTLEY MCCARTY (OWNER)
(757) 619-3279
Entity
Organization
Contact information
Practice address
6012 26TH ST W, BRADENTON, FL 34207-4401
(757) 619-3279
Mailing address
6012 26TH ST W, BRADENTON, FL 34207-4401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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