| Implantis Oral & Facial Surgery, Pa | |
|
3940 Swift Rd Sarasota FL 34231-6541 | |
| (941) 923-0033 | |
| (941) 922-4621 |
| Full Name | Implantis Oral & Facial Surgery, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3940 Swift Rd, Sarasota, Florida |
| Authorized Official Name and Position | Gary Raska (PRESIDENT) |
| Authorized Official Contact | 9419230033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implantis Oral & Facial Surgery, Pa 3940 Swift Rd Sarasota FL 34231-6541 Ph: (941) 923-0033 | Implantis Oral & Facial Surgery, Pa 3940 Swift Rd Sarasota FL 34231-6541 Ph: (941) 923-0033 |
| NPI Number | 1114291002 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114291002 | NPI | - | NPPES |
| 1013920669 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN18583 (Florida) | Primary |
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