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Organization
L. CARL DE JONGH, D.D.S., P.A.
Active
Organization
L. CARL DE JONGH, D.D.S., P.A.
Active
Other names
Manatee Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. CARL DE JONGH DDS (PRESIDENT)
(941) 792-4166
Entity
Organization
Contact information
Practice address
2111 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-4166
(941) 792-5435
Mailing address
2111 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-4166
(941) 792-5435
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 5742
FL
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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