| Mirror Image Dentistry | |
|
2140 Bispham Rd Sarasota FL 34231-5540 | |
| (941) 929-9332 | |
| (941) 929-7655 |
| Full Name | Mirror Image Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2140 Bispham Rd, Sarasota, Florida |
| Authorized Official Name and Position | Amy Renee Nulty (DENTIST) |
| Authorized Official Contact | 9419299332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirror Image Dentistry 2140 Bispham Rd Sarasota FL 34231-5540 Ph: (941) 929-9332 | Mirror Image Dentistry 2140 Bispham Rd Sarasota FL 34231-5540 Ph: (941) 929-9332 |
| NPI Number | 1770925661 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 07/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770925661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0014015 (Florida) | Primary |
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