Summerland Dental Professional Association
NPI #1629662341 in Summerland Key, Florida
Provider Information
- NPI Number
- 1629662341
- Entity Type
- Organization
- Organization Name
- Summerland Dental Professional Association
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Feb 23, 2021
- Last Updated
- Feb 23, 2021
Practice Location
- Address
- 24986 OVERSEAS HWY
- City
- Summerland Key
- State
- Florida
- ZIP Code
- 33042-4612
- Phone
- (305) 745-1522
Authorized Official
- Name
- WILLIAM L. TYCOLIZ JR., DDS
- Title
- OWNER/PRACTITIONER
- Phone
- (305) 745-1522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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