Destination Dntl, P.a.

NPI #1710678057 in Parrish, Florida

Provider Information

NPI Number: 1710678057
Entity Type: Organization
Organization Name: Destination Dntl, P.a.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 17, 2023
Last Updated: May 17, 2023

Practice Location

Address: 10014 US HIGHWAY 301 N
City: Parrish
State: Florida
ZIP Code: 34219-8493
Phone: (941) 842-2240

Authorized Official

Name: DR. MICHAEL KUTSYK, DDS
Title: PRESIDENT
Phone: (941) 842-2240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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