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Organization

MANATEE DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS ANTHONY CORONA DDS (DENTIST OWNER)
(941) 747-4000
Entity
Organization

Contact information

Practice address
3805 ST RD 64 E, BRADENTON, FL 34208
(941) 747-4000
(941) 714-0403
Mailing address
3805 ST RD 64 E, BRADENTON, FL 34208
(941) 747-4000
(941) 714-0403

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13483
FL

Other

Enumeration date
04/22/2008
Last updated
07/09/2008
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