Michael Childers

NPI #1811046964 in Bradenton, Florida

Provider Information

NPI Number: 1811046964
Entity Type: Individual
Name: Michael Childers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 9, 2007
Last Updated: Dec 27, 2012

Practice Location

Address: 8640 E STATE ROAD 70
City: Bradenton
State: Florida
ZIP Code: 34202-3785
Phone: (941) 756-3410

Specialties & Taxonomy Codes

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

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