Individual
DR. MICHAEL THADDEUS GMITRUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3900 CLARK RD BLDG S, SARASOTA, FL 34233-2380
(941) 922-1504
(941) 922-2907
Mailing address
3900 CLARK RD BLDG S, SARASOTA, FL 34233-2380
(941) 922-1504
(941) 922-2907
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN0010502
FL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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