Organization
LOCKWOOD COMMONS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS MESIA DDS (OWNER DENTIST)
(941) 251-3995
Entity
Organization
Contact information
Practice address
4222 53RD AVE E, BRADENTON, FL 34203
(941) 251-3995
Mailing address
4222 53RD AVE E, BRADENTON, FL 34203
(941) 251-3995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17583
FL
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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