Individual
AMY RENEE NULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2140 BISPHAM RD, SARASOTA, FL 34231
(941) 929-9332
(941) 929-7655
Mailing address
2140 BISPHAM RD, SARASOTA, FL 34231
(941) 929-9332
(941) 929-7655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN00014015
FL
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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