Gaeta Dental Health Professionals, PA

NPI #1437332616 in Venice, Florida

Provider Information

NPI Number
1437332616
Entity Type
Organization
Organization Name
Gaeta Dental Health Professionals, PA
Subpart
Yes (part of a larger organization)
Parent Organization
GAETA DENTAL HEALTH PROFESSIONALS, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 11, 2007
Last Updated
Dec 11, 2007

Practice Location

Address
609 TAMIAMI TRL S
City
Venice
State
Florida
ZIP Code
34285-3237
Phone
(941) 480-1087

Authorized Official

Name
AMY KROEGER
Title
INS COORD
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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