| Michael R Dorociak Dds Pa | |
|
3900 Clark Rd Ste J5 Sarasota FL 34233-2367 | |
| (941) 924-1100 | |
| (941) 924-6527 |
| Full Name | Michael R Dorociak Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3900 Clark Rd, Sarasota, Florida |
| Authorized Official Name and Position | Amanda Knowlton (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9419241100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Dorociak Dds Pa 3900 Clark Rd Ste J5 Sarasota FL 34233-2367 Ph: (941) 924-1100 | Michael R Dorociak Dds Pa 3900 Clark Rd Ste J5 Sarasota FL 34233-2367 Ph: (941) 924-1100 |
| NPI Number | 1508313198 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508313198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11060 (Florida) | Primary |
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