Marina Dental & Denture Clinic PA

NPI #1275692154 in Clearwater Beach, Florida

Provider Information

NPI Number: 1275692154
Entity Type: Organization
Organization Name: Marina Dental & Denture Clinic PA
Primary Specialty: Dentist
Enumeration Date: Dec 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 25 CAUSEWAY BLVD
Address 2: SUITE 20
City: Clearwater Beach
State: Florida
ZIP Code: 33767-2099
Phone: (727) 441-8225

Authorized Official

Name: DAVID S PETRIK, DDS
Title: PRESIDENT OF CORPORATION
Phone: (727) 441-8225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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