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1811046964
MICHAEL CHILDERS
BRADENTON, FL
NPI
1811046964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL 12135)
Enumeration Date
2007-01-09
Last Update Date
2012-12-27
Business Address
MICHAEL CHILDERS
8640 E STATE ROAD 70
BRADENTON, FL 34202-3785
Phone number: 941-756-3410
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Mailing Address
MICHAEL CHILDERS
6240 LAKE OSPREY DR
SARASOTA, FL 34240-8421
Phone number: 941-256-0934
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