| Srqdentistry | |
|
1878 Stickney Point Rd Sarasota FL 34231-8847 | |
| (941) 966-4414 | |
| Not Available |
| Full Name | Srqdentistry |
|---|---|
| Speciality | Dentist |
| Location | 1878 Stickney Point Rd, Sarasota, Florida |
| Authorized Official Name and Position | Susan Gilleland (PRESIDENT) |
| Authorized Official Contact | 9419664414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srqdentistry 1878 Stickney Point Rd Sarasota FL 34231-8847 Ph: (941) 966-4414 | Srqdentistry 1878 Stickney Point Rd Sarasota FL 34231-8847 Ph: (941) 966-4414 |
| NPI Number | 1285970335 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 12/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285970335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12904 (Florida) | Primary |
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