Implant Dentistry of Venice LLC

NPI #1871681692 in Venice, Florida

Provider Information

NPI Number: 1871681692
Entity Type: Organization
Organization Name: Implant Dentistry of Venice LLC
Primary Specialty: Dentist
Enumeration Date: Oct 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1515 TAMIAMI TRAIL S
Address 2: SUITE 3
City: Venice
State: Florida
ZIP Code: 34285
Phone: (941) 497-1585

Authorized Official

Name: DR. DAVID M CHAMPION
Title: PRESIDENT
Phone: (941) 497-1585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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