Organization
DENTAL HEALTH SERVICES BRADENTON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
8640 E STATE ROAD 70 # D, BRADENTON, FL 34202-3785
(941) 756-3410
Mailing address
8640 E STATE ROAD 70 # D, BRADENTON, FL 34202-3785
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/12/2007
Last updated
07/30/2010
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