Organization
KLEMENT JUNGMAN & VARGA DDS PA
Active
Other names
Sundent Care LLC and Zamikoff Klement Jungman DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J KLEMENT (DOCTOR)
(941) 792-2766
Entity
Organization
Contact information
Practice address
2103 59TH ST W, BRADENTON, FL 34209
(941) 792-2766
(941) 795-7531
Mailing address
2103 59TH ST W, BRADENTON, FL 34209
(941) 792-2766
(941) 795-7531
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN11099
FL
122300000X
Dentist
Primary
DN6193
FL
122300000X
Dentist
DN9109
FL
1223P0700X
Prosthodontics
DN15328
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593645550
TAX ID
FL
Enumeration date
08/02/2006
Last updated
02/28/2019
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