DR. Jose Antonio Sarasola III, DMD

NPI #1396970505 in Port St. Lucie, Florida

Provider Information

NPI Number
1396970505
Entity Type
Individual
Name
DR. Jose Antonio Sarasola III, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
May 18, 2009
Last Updated
Jul 11, 2011

Practice Location

Address
3217 SW PORT ST. LUCIE BLVD
Address 2
APT: 307
State
Florida
ZIP Code
34953
Phone
(772) 871-9456

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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