Organization
LAKEWOOD DENTAL EXCELLENCE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M KERNAGIS DMD (PRESIDENT)
(941) 739-7770
Entity
Organization
Contact information
Practice address
5255 OFFICE PARK BLVD STE 112, BRADENTON, FL 34203-3443
(941) 739-7770
(941) 739-7770
Mailing address
5255 OFFICE PARK BLVD STE 112, BRADENTON, FL 34203-3443
(941) 739-7770
(941) 739-7770
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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