Organization
CONTEMPORARY DENTAL PLLC
Active
Other names
Siesta Village Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL O LYONS (CIO)
(646) 263-2980
Entity
Organization
Contact information
Practice address
5136 OCEAN BLVD, SIESTA KEY, FL 34242-1637
(646) 263-2980
Mailing address
5812 VALENTE PL, SARASOTA, FL 34238-1706
(941) 302-7778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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