Ralph A, Ciasullo Dmd PA

NPI #1851651095 in Bradenton, Florida

Provider Information

NPI Number
1851651095
Entity Type
Organization
Organization Name
Ralph A, Ciasullo Dmd PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 22, 2012
Last Updated
May 22, 2012

Practice Location

Address
6220 MANATEE AVE W
Address 2
SUITE 304
State
Florida
ZIP Code
34209-2376
Phone
(941) 795-4040

Authorized Official

Name
DR. RALPH A CIASULLO, DMD
Title
DENTIST
Phone
(941) 795-4040

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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