Organization
FROUG ELLENTON DENTAL CENTER
Active
Other names
Pinebrook Dental North
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE BEAN (OFFICE MANAGER)
(941) 795-0877
Entity
Organization
Contact information
Practice address
6222 US HIGHWAY 301 N, ELLENTON, FL 34222-3065
(941) 729-6636
Mailing address
6222 US HIGHWAY 301 N, ELLENTON, FL 34222-3065
(941) 729-6636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10494
FL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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