Siesta Dental LLC

NPI #1235090366 in Osprey, Florida

Provider Information

NPI Number
1235090366
Entity Type
Organization
Organization Name
Siesta Dental LLC
Primary Specialty
Dentist
Enumeration Date
Nov 19, 2025
Last Updated
Nov 19, 2025

Practice Location

Address
416 S TAMIAMI TRL STE F1
City
Osprey
State
Florida
ZIP Code
34229-9206
Phone
(407) 375-9838

Authorized Official

Name
DR. MARIANO DE LA RIVA, DDS
Title
PRESIDENT
Phone
(407) 375-9838

Specialties & Taxonomy Codes

Specialty
Dentist

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