| Destination Dntl, P.a. | |
|
10014 Us Highway 301 N Parrish FL 34219-8493 | |
| (941) 842-2240 | |
| Not Available |
| Full Name | Destination Dntl, P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10014 Us Highway 301 N, Parrish, Florida |
| Authorized Official Name and Position | Michael Kutsyk (PRESIDENT) |
| Authorized Official Contact | 9418422240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Dntl, P.a. 10014 Us Highway 301 N Parrish FL 34219-8493 Ph: () - | Destination Dntl, P.a. 10014 Us Highway 301 N Parrish FL 34219-8493 Ph: (941) 842-2240 |
| NPI Number | 1710678057 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710678057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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