| Children's Dentistry Of Manatee | |
|
5714 21st Ave W Bradenton FL 34209-5606 | |
| (941) 792-6272 | |
| Not Available |
| Full Name | Children's Dentistry Of Manatee |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5714 21st Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Ronald S. Acquaro (PRESIDENT) |
| Authorized Official Contact | 9417926272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Manatee 5714 21st Ave W Bradenton FL 34209-5606 Ph: (941) 792-6272 | Children's Dentistry Of Manatee 5714 21st Ave W Bradenton FL 34209-5606 Ph: (941) 792-6272 |
| NPI Number | 1760538904 |
|---|---|
| Provider Enumeration Date | 01/27/2007 |
| Last Update Date | 04/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760538904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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