| My Smile Dental | |
|
520 48th Street Ct E Bradenton FL 34208-5508 | |
| (941) 748-9393 | |
| (941) 748-9696 |
| Full Name | My Smile Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 520 48th Street Ct E, Bradenton, Florida |
| Authorized Official Name and Position | Martina Mallery (OWNER/PROVIDER OF SERVICES) |
| Authorized Official Contact | 9417489393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Smile Dental 520 48th Street Ct E Bradenton FL 34208-5508 Ph: (941) 748-9393 | My Smile Dental 520 48th Street Ct E Bradenton FL 34208-5508 Ph: (941) 748-9393 |
| NPI Number | 1518294669 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518294669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN18531 (Florida) | Primary |
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