Organization
SUNCOAST DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THIEN VU DMD (PRESIDENT)
(941) 792-2965
Entity
Organization
Contact information
Practice address
6302 MANATEE AVE W STE B, BRADENTON, FL 34209-2355
(941) 792-2965
(941) 792-8955
Mailing address
6302 MANATEE AVE W STE B, BRADENTON, FL 34209-2355
(941) 792-2965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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