Organization
GAETA DENTAL OF CENTERGATE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN JANISZEWSKA (CFO)
(941) 486-0561
Entity
Organization
Contact information
Practice address
4076 CATTLEMEN RD, SARASOTA, FL 34233-5033
(941) 379-9331
Mailing address
609 S. TAMIAMI TRAIL, VENICE, FL 34285
(941) 486-0561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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