Implantis Oral & Facial Surgery, Pa

NPI 1114291002 - Dentist - 1223S0112X

NPI Details
NPI 1114291002
Enumeration Date 02/24/2012
Last Updated 02/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GARY GARY
Position PRESIDENT
Phone (941) 923-0033
Fax (941) 922-4621
Practice Location
3940 SWIFT RD
SARASOTA FL, 34231-6541, US
Phone (941) 923-0033
Fax (941) 922-4621
Business Location
3940 SWIFT RD
SARASOTA FL, 34231-6541, US
Phone (941) 923-0033
Fax (941) 922-4621
Toxanomy
Taxonomy Code 1223S0112X
License State Florida
License Number DN18583
Remove 1114291002 NPI Number
 

According to our database, Implantis Oral & Facial Surgery, Pa NPI is 1114291002, taxonomy code is 1223S0112X and license number is DN18583, license state is located at Florida. Implantis Oral & Facial Surgery, Pa physically located at 3940 Swift Rd, Sarasota FL, 34231-6541. NPI Number 1033115704 has the healthcare provider type.

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1114291002 NPI number is provided on an as is basis without warranty of any kind. 1114291002 is maintained by the National Plan & Provider Enumeration System. The contents of Implantis Oral & Facial Surgery, Pa are for informational purposes only.