| Manatee Oral And Facial Surgery Center Llc | |
|
5460 Lena Rd Unit 102 Bradenton FL 34211-9500 | |
| (502) 644-7833 | |
| (941) 492-7184 |
| Full Name | Manatee Oral And Facial Surgery Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5460 Lena Rd, Bradenton, Florida |
| Authorized Official Name and Position | Prashant Pandya (OWNER) |
| Authorized Official Contact | 5026447833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manatee Oral And Facial Surgery Center Llc 5460 Lena Rd Unit 102 Bradenton FL 34211-9500 Ph: (502) 644-7833 | Manatee Oral And Facial Surgery Center Llc 5460 Lena Rd Unit 102 Bradenton FL 34211-9500 Ph: (502) 644-7833 |
| NPI Number | 1811138662 |
|---|---|
| Provider Enumeration Date | 03/07/2009 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811138662 | NPI | - | NPPES |
| DN17268 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17268 (Florida) | Primary |
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