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Organization
ROBERT A STIPANOV DDS PA
Active
Organization
ROBERT A STIPANOV DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTONY STIPANOV DDS PA (PRESIDENT)
(941) 739-8303
Entity
Organization
Contact information
Practice address
6060 53RD AVE E, SUITE B, BRADENTON, FL 34203-9719
(941) 739-8303
Mailing address
6060 53RD AVE E, SUITE B, BRADENTON, FL 34203-9719
(941) 739-8303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011911
FL
Other
Enumeration date
04/16/2007
Last updated
10/17/2013
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