Individual
ALLISON KONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11155 STATE ROAD 70 EAST, LAKEWOOD RANCH, FL 34202
(941) 953-5565
(813) 336-0836
Mailing address
11155 STATE ROAD 70 EAST, LAKEWOOD RANCH, FL 34202-1307
(941) 953-5565
(813) 336-0836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19386
FL
Other
Enumeration date
06/23/2011
Last updated
05/28/2021
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