| Marina Dental & Denture Clinic Pa | |
|
25 Causeway Blvd Suite 20 Clearwater Beach FL 33767-2099 | |
| (727) 441-8225 | |
| (727) 441-8225 |
| Full Name | Marina Dental & Denture Clinic Pa |
|---|---|
| Speciality | Dentist |
| Location | 25 Causeway Blvd, Clearwater Beach, Florida |
| Authorized Official Name and Position | David S Petrik (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 7274418225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Dental & Denture Clinic Pa 25 Causeway Blvd Suite 20 Clearwater Beach FL 33767-2099 Ph: (727) 441-8225 | Marina Dental & Denture Clinic Pa 25 Causeway Blvd Suite 20 Clearwater Beach FL 33767-2099 Ph: (727) 441-8225 |
| NPI Number | 1275692154 |
|---|---|
| Provider Enumeration Date | 12/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275692154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |