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1992928931
MICHAEL THADDEUS GMITRUK
SARASOTA, FL
NPI
1992928931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: FL dn0010502)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL THADDEUS GMITRUK dds
3900 CLARK RD BLDG S
SARASOTA, FL 34233-2380
Phone number: 941-922-1504
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Mailing Address
Dr. MICHAEL THADDEUS GMITRUK dds
3900 CLARK RD BLDG S
SARASOTA, FL 34233-2380
Phone number: 941-922-1504
Copy
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