Individual
DR. BARRY DEAN HOTHERSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
943 S BENEVA RD, SUITE 110, SARASOTA, FL 34232
(941) 365-7116
(941) 365-7116
Mailing address
943 S BENEVA RD, SUITE 110, SARASOTA, FL 34232
(941) 365-7116
(941) 365-7215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2800
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN11095
FL
Other
Enumeration date
08/21/2006
Last updated
04/05/2011
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