Organization
MICHAEL L CHILDERS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHILDERS DDS (OWNER)
(941) 870-3322
Entity
Organization
Contact information
Practice address
1058 N TAMIAMI TRL, SARASOTA, FL 34236-2416
(941) 870-3322
(941) 955-5959
Mailing address
1058 N TAMIAMI TRL, SARASOTA, FL 34236-2416
(941) 870-3322
(941) 955-5959
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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