Meadows Adult Dental Services Sr 64 LLC

NPI #1134524424 in Bradenton, Florida

Provider Information

NPI Number: 1134524424
Entity Type: Organization
Organization Name: Meadows Adult Dental Services Sr 64 LLC
Primary Specialty: Dentist
Enumeration Date: Oct 29, 2014
Last Updated: Oct 29, 2014

Practice Location

Address: 9916 E STATE ROAD 64
City: Bradenton
State: Florida
ZIP Code: 34212-5303
Phone: (941) 745-1143

Authorized Official

Name: DR. GEORGE J MEADOWS JR., DMD
Title: MANAGING MEMBER
Phone: (941) 745-1143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist	122300000X	Primary

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