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Organization
SONRIESZA ENTERPRISES LLC
Active
Organization
SONRIESZA ENTERPRISES LLC
Active
Other names
Venice Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KEITH RIESZ DMD (PRESIDENT)
(941) 408-7645
Entity
Organization
Contact information
Practice address
4153 UNIT B SOUTH TAMIAMI TRAIL, VENICE, FL 34293
(941) 408-7645
(941) 408-7660
Mailing address
4153 UNIT B SOUTH TAMIAMI TRAIL, VENICE, FL 34293
(941) 408-7645
(941) 408-7660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15792
FL
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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