| Institute Of Computerized Dentistry, Inc. | |
|
3030 Us Highway 301 N Ellenton FL 34222 | |
| (941) 722-0502 | |
| (941) 722-3634 |
| Full Name | Institute Of Computerized Dentistry, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3030 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Daniel C Delrose (PRESIDENT) |
| Authorized Official Contact | 9417220502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Computerized Dentistry, Inc. 3030 Us Highway 301 N Ellenton FL 34222 Ph: (941) 722-0502 | Institute Of Computerized Dentistry, Inc. 3030 Us Highway 301 N Ellenton FL 34222 Ph: (941) 722-0502 |
| NPI Number | 1366873911 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366873911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
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