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Organization

AVE MARIA DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAITLIN POL MCLAUGHLIN-RAIGER (PRESIDENT)
(239) 919-6930
Entity
Organization

Contact information

Practice address
5064 ANNUNCIATION CIR, SUITE 101, AVE MARIA, FL 34142-9671
(239) 919-6930
Mailing address
5064 ANNUNCIATION CIR, SUITE 101, AVE MARIA, FL 34142-9671
(239) 919-6930

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18551
FL

Other

Enumeration date
08/08/2014
Last updated
08/08/2014
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