Individual
DR. ANTHONY JOHN SIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
225 S PLUMOSA ST, MERRITT ISLAND, FL 32952-3525
(321) 453-1890
(321) 453-1521
Mailing address
225 S PLUMOSA ST, MERRITT ISLAND, FL 32952-3525
(321) 453-1890
(321) 453-1521
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 13170
FL
Other
Enumeration date
06/19/2006
Last updated
12/15/2014
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