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Organization
SANIBEL ISLAND DENTAL LLC
Active
Organization
SANIBEL ISLAND DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW L DAVIS D.D.S. (OWNER)
(239) 939-2272
Entity
Organization
Contact information
Practice address
1648 PERIWINKLE WAY STE C1, SANIBEL, FL 33957-4406
(239) 395-1211
(239) 395-2303
Mailing address
40 BARKLEY CIR STE 2, FORT MYERS, FL 33907-4518
(239) 939-2272
(239) 939-5155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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