| Siesta Dental Llc | |
|
416 S Tamiami Trl Ste F1 Osprey FL 34229-9206 | |
| (407) 375-9838 | |
| (941) 761-6529 |
| Full Name | Siesta Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 416 S Tamiami Trl Ste F1, Osprey, Florida |
| Authorized Official Name and Position | Mariano De La Riva (PRESIDENT) |
| Authorized Official Contact | 4073759838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siesta Dental Llc 416 S Tamiami Trl Ste F1 Osprey FL 34229-9206 Ph: (407) 375-9838 | Siesta Dental Llc 416 S Tamiami Trl Ste F1 Osprey FL 34229-9206 Ph: (407) 375-9838 |
| NPI Number | 1235090366 |
|---|---|
| Provider Enumeration Date | 11/19/2025 |
| Last Update Date | 11/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235090366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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