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3633 Cortez Rd W Suite A1 Bradenton FL 34210-3119 | |
| (941) 753-5857 | |
| (941) 753-6186 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 3633 Cortez Rd W, Bradenton, Florida |
| Authorized Official Name and Position | Dennis Anthony Corona (DENTIST/OWNER) |
| Authorized Official Contact | 9417535857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3633 Cortez Rd W Suite A1 Bradenton FL 34210-3119 Ph: (941) 753-5857 | 3633 Cortez Rd W Suite A1 Bradenton FL 34210-3119 Ph: (941) 753-5857 |
| NPI Number | 1689848889 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689848889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN13483 (Florida) | Primary |
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