Organization
GAETA DENTAL HEALTH PROFESSIONALS, PA
Active
Parent organization
GAETA DENTAL HEALTH PROFESSIONALS, PA
Other names
Gaeta Dental - Venice
Organization subpart
Yes
Provider details
NPI number
Legal business name
GAETA DENTAL HEALTH PROFESSIONALS, PA
Authorized official
AMY KROEGER (INS COORD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
609 TAMIAMI TRL S, VENICE, FL 34285-3237
(941) 480-1087
(941) 480-1916
Mailing address
609 TAMIAMI TRL S, VENICE, FL 34285-3237
(941) 480-1087
(941) 480-1916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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