Individual
CHARLES D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3900 CLARK RD, BLDG H, SUITE 5, SARASOTA, FL 34233-2301
(941) 921-4343
Mailing address
3900 CLARK RD, BLDG H, SUITE 5, SARASOTA, FL 34233-2301
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5111
FL
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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