| Lockwood Commons Dental Care | |
|
4222 53rd Ave E Bradenton FL 34203 | |
| (941) 251-3995 | |
| Not Available |
| Full Name | Lockwood Commons Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 4222 53rd Ave E, Bradenton, Florida |
| Authorized Official Name and Position | Juan Carlos Mesia (OWNER DENTIST) |
| Authorized Official Contact | 9412513995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lockwood Commons Dental Care 4222 53rd Ave E Bradenton FL 34203 Ph: (941) 251-3995 | Lockwood Commons Dental Care 4222 53rd Ave E Bradenton FL 34203 Ph: (941) 251-3995 |
| NPI Number | 1881090025 |
|---|---|
| Provider Enumeration Date | 11/17/2014 |
| Last Update Date | 11/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881090025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN17583 (Florida) | Primary |
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