DR. Ralph A. Ciasullo, D.M.D.

NPI #1154595791 in Bradenton, Florida

Provider Information

NPI Number: 1154595791
Entity Type: Individual
Name: DR. Ralph A. Ciasullo, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 15, 2008
Last Updated: Jan 29, 2013

Practice Location

Address: 6220 MANATEE AVE W
Address 2: SUITE 304
City: Bradenton
State: Florida
ZIP Code: 34209-2376
Phone: (941) 795-4040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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