Individual
DR. ANNY MICHELINE CLEMENTINO DE SA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 BEE RIDGE RD STE C, SARASOTA, FL 34233-1207
(941) 306-1818
Mailing address
2565 UNIVERSITY PKWY APT 4405, SARASOTA, FL 34243-2979
(919) 152-5022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25655
FL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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