Individual
KERRY JO LOCKLEAR STANISIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3315 UNIVERSITY PKWY UNIT 103, SARASOTA, FL 34243-4240
(941) 822-8165
(941) 822-8257
Mailing address
3315 UNIVERSITY PKWY UNIT 103, SARASOTA, FL 34243-4240
(941) 822-8165
(941) 822-8257
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22556
FL
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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