Organization
ELEVATION DENTAL SOLUTIONS
Active
Other names
941 Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS ROQUE JR. DDS (OWNER GENERAL DENTIST)
(941) 822-0048
Entity
Organization
Contact information
Practice address
5643 CLARK RD, SARASOTA, FL 34233-3216
(941) 822-0048
Mailing address
5643 CLARK RD, SARASOTA, FL 34233-3216
(941) 822-0048
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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