Organization
INSTITUTE OF COMPUTERIZED DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL C DELROSE DDS (PRESIDENT)
(941) 722-0502
Entity
Organization
Contact information
Practice address
3030 US HIGHWAY 301 N, ELLENTON, FL 34222
(941) 722-0502
(941) 722-3634
Mailing address
3030 US HIGHWAY 301 N, ELLENTON, FL 34222
(941) 722-0502
(941) 722-3634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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