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Organization
THE TOOTH SHOP OF OCALA, LLC
Active
Organization
THE TOOTH SHOP OF OCALA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA SYSKA (PRACTICE MANAGER)
(352) 732-2458
Entity
Organization
Contact information
Practice address
25520 STATE ROAD 46, SORRENTO, FL 32776-9526
(352) 735-2211
(352) 735-5844
Mailing address
8205 CONWAY RD, YALAHA, FL 34797-3402
(352) 391-4231
(352) 735-5844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
11/03/2021
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