Organization
ANNA MARIA ISLAND DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JACK MARTINEAU D.M.D. (DIRECTOR)
(941) 778-1122
Entity
Organization
Contact information
Practice address
5319 GULF DR, HOLMES BEACH, FL 34217-1742
(941) 778-1122
Mailing address
16528 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 961-0094
(813) 960-8133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12356
FL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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