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Individual

DR. GERALD THOMAS DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2828 S MCCALL RD, SUITE 49, ENGLEWOOD, FL 34224-7791
(941) 475-9915
(941) 475-2002
Mailing address
2828 S MCCALL RD, SUITE 49, ENGLEWOOD, FL 34224-7791
(941) 475-9915
(941) 475-2002

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN6007
FL

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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