Individual
ANDREA ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8446 LOCKWOOD RIDGE RD, SARASOTA, FL 34243
(607) 591-5866
Mailing address
8446 LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2920
(607) 591-5866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23486
FL
Other
Enumeration date
06/12/2018
Last updated
06/25/2018
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