| NPI | 1033463013 |
|---|---|
| Doing Business As | LIFETIME DENTISTRY OF BRADENTON |
| Entity Type | Organization |
| Authorized Contact | PAM HARDIEK Credentialing/Insurance 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-12-31 |