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Organization
LAUREL RIDGE DENTAL ASSOCIATES
Active
Organization
LAUREL RIDGE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY I PORTER D.M.D. (DOCTOR/OWNER)
(941) 371-3006
Entity
Organization
Contact information
Practice address
7277 BEE RIDGE RD, SARASOTA, FL 34241-5969
(941) 371-3006
(941) 371-6733
Mailing address
7277 BEE RIDGE RD, SARASOTA, FL 34241-5969
(941) 371-3006
(941) 371-6733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13121
FL
1223G0001X
General Practice Dentistry
16728
FL
1223G0001X
General Practice Dentistry
Primary
9698
FL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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