Organization
SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
Active
Parent organization
SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
Other names
William Tycoliz JR DDS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
Authorized official
WILLIAM L. TYCOLIZ JR. DDS (OWNER/PRACTITIONER)
(305) 745-1522
Entity
Organization
Contact information
Practice address
24986 OVERSEAS HWY, SUMMERLAND KEY, FL 33042-4612
(305) 745-1522
Mailing address
PO BOX 420212, SUMMERLAND KEY, FL 33042-0212
(305) 745-1522
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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