Family Dental Care of South Bradenton

NPI #1548680630 in Bradenton, Florida

Provider Information

NPI Number: 1548680630
Entity Type: Organization
Organization Name: Family Dental Care of South Bradenton
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY DENTAL CARE OF SOUTH BRADENTON
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 16, 2014
Last Updated: Apr 16, 2014

Practice Location

Address: 3565 53RD AVE W
City: Bradenton
State: Florida
ZIP Code: 34210-3489
Phone: (941) 758-8900

Authorized Official

Name: KENDRA WALKER
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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