Organization
L. CARL DE JONGH, D.D.S., P.A.
Active
Other names
Manatee Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. CARL DE JONGH DDS (PRESIDENT)
(941) 792-4166
Entity
Organization
Contact information
Practice address
2111 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-4166
(941) 792-5435
Mailing address
2111 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-4166
(941) 792-5435
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN 5742
FL
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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