Organization
MARINA DENTAL & DENTURE CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S PETRIK DDS (PRESIDENT OF CORPORATION)
(727) 441-8225
Entity
Organization
Contact information
Practice address
25 CAUSEWAY BLVD, SUITE 20, CLEARWATER BEACH, FL 33767-2099
(727) 441-8225
(727) 441-8225
Mailing address
25 CAUSEWAY BLVD, SUITE 20, CLEARWATER BEACH, FL 33767-2099
(727) 441-8225
(727) 441-8225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
08/22/2020
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