Organization
3D-DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA DEVILLIERS DDS (OWNER)
(205) 790-5866
Entity
Organization
Contact information
Practice address
14730 2ND AVENUE CIR NE, BRADENTON, FL 34212-5577
(205) 790-5866
Mailing address
1842 RYE RD, 106, BRADENTON, FL 34212-9038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21483
FL
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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