Organization
DESTINATION DNTL, P.A.
Active
Other names
Destination Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KUTSYK DDS (PRESIDENT)
(941) 842-2240
Entity
Organization
Contact information
Practice address
10014 US HIGHWAY 301 N, PARRISH, FL 34219-8493
(941) 842-2240
Mailing address
10014 US HIGHWAY 301 N, PARRISH, FL 34219-8493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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