Organization · Type 2 NPI
Ellenton Family Dental Corp
Dental Clinic/Center · Ellenton, FL
NPI number
1184092629
Active
Practice location
5975 Factory Shops Blvd
Ellenton, FL 34222-4125
Fax (941) 479-7991
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1184092629
Ellenton Family Dental Corp's National Provider Identifier is 1184092629, issued on Sep 14, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ellenton, FL. The record was last updated on Sep 14, 2015.