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Ellenton Family Dental Corp
Dental Clinic/Center in Ellenton, Florida
NPI 1184092629

Ellenton Family Dental Corp is a Dental Clinic/Center based in Ellenton, FL and is specialized in Dental. Ellenton Family Dental Corp practices in Ellenton, FL. The NPI Number for Ellenton Family Dental Corp is 1184092629 and holds a License No. (Florida).

The current practice location address for Ellenton Family Dental Corp is 5975 Factory Shops Blvd, Ellenton, FL and can be reached out via phone at 941-479-7936 and via fax at 941-479-7991.

Location: 5975 Factory Shops Blvd, Ellenton, FL, 34222-4125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184092629
Provider Name
Ellenton Family Dental Corp
Credential
Provider Entity Type
Organization
Address
5975 Factory Shops Blvd, Ellenton, FL, 34222-4125
Phone Number
941-479-7936
Fax Number
941-479-7991
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5975 Factory Shops Blvd
City
Ellenton
State
Florida
Zip
34222-4125
Phone Number
941-479-7936
Fax Number
941-479-7991
person
Provider Business Mailing Address Details
Address
5975 Factory Shops Blvd
City
Ellenton
State
Florida
Zip
34222-4125
Phone Number
941-479-7936
Fax Number
941-479-7991
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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