Organization
W. C. JANSON D. M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER CHARLES JANSON JR. DMD (PRESIDENT)
(941) 929-9580
Entity
Organization
Contact information
Practice address
4044 SAWYER RD, SARASOTA, FL 34233-1272
(941) 929-9580
Mailing address
4611 TRAILS DR, SARASOTA, FL 34232-3482
(941) 929-9580
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
FL9242
FL
Other
Enumeration date
08/31/2006
Last updated
07/25/2008
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