NPI | 1316663107 |
---|---|
Doing Business As | SARASOTA ORAL AND IMPLANT SURGERY |
Entity Type | Organization |
Authorized Contact | ROBERT L DEMINT Credentialing Coordinator 813-692-2224 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-10-13 |