Organization
ADDS01 LLC
Active
Other names
Great White Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO C. MARINO DDS (MANAGING PARTNER)
(786) 683-0511
Entity
Organization
Contact information
Practice address
888 S PARSONS AVE, BRANDON, FL 33511-6007
(786) 683-0511
Mailing address
7887 GARDNER DR, NAPLES, FL 34109-0608
(786) 683-0511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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