Organization
FAMILY SMILE DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DORA ELENA JARQUIN D.M.D. (DENTIST)
(941) 345-1100
Entity
Organization
Contact information
Practice address
9090 58TH DR E STE 300, BRADENTON, FL 34202-6112
(941) 345-1100
(941) 345-1099
Mailing address
9090 58TH DR E STE 300, BRADENTON, FL 34202-6112
(941) 345-1100
(941) 345-1099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14594
FL
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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