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Organization
MY SMILE DENTISTRY
Active
Organization
MY SMILE DENTISTRY
Active
Parent organization
MY SMILE DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MY SMILE DENTISTRY
Authorized official
JOHN C. RICHARD (VP)
(941) 928-2490
Entity
Organization
Contact information
Practice address
846 SOUTH OSPREY AVENUE, SARASOTA, FL 34236
(941) 706-1505
(941) 554-8172
Mailing address
846 SOUTH OSPREY AVENUE, SARASOTA, FL 34236
(941) 706-1505
(941) 554-8172
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN17733
FL
122300000X
Dentist
Primary
DN18201
FL
122300000X
Dentist
DN18531
FL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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