Lockwood Commons Dental Care

NPI #1881090025 in Bradenton, Florida

Provider Information

NPI Number: 1881090025
Entity Type: Organization
Organization Name: Lockwood Commons Dental Care
Primary Specialty: Dentist
Enumeration Date: Nov 17, 2014
Last Updated: Nov 17, 2014

Practice Location

Address: 4222 53RD AVE E
City: Bradenton
State: Florida
ZIP Code: 34203
Phone: (941) 251-3995

Authorized Official

Name: DR. JUAN CARLOS MESIA, DDS
Title: OWNER DENTIST
Phone: (941) 251-3995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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