Organization
ADVANCED DENTAL CARE OF SARASOTA EAST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (CREDENTIALING COORDINATOR)
(305) 274-2499
Entity
Organization
Contact information
Practice address
13195 SW 134TH ST, MIAMI, FL 33186-4461
(305) 274-2499
Mailing address
8282 BEE RIDGE RD, SARASOTA, FL 34241-6311
(941) 256-3475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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