Advanced Dental Care Shady Road LLC

NPI #1457514986 in Ocala, Florida

Provider Information

NPI Number: 1457514986
Entity Type: Organization
Organization Name: Advanced Dental Care Shady Road LLC
Primary Specialty: Dentist
Enumeration Date: Jul 3, 2008
Last Updated: Sep 17, 2010

Practice Location

Address: 3040 SW 27TH AVE
Address 2: STE 101
City: Ocala
State: Florida
ZIP Code: 34471-8981
Phone: (941) 756-3410

Authorized Official

Name: MIKE COLE
Title: INSURANCE DIRECTOR
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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