Gaeta Dental Health Professionals
Dentist, General Practice in Venice, FL. Organization (NPI-2).
NPI number1619083003
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619083003
- Entity type
- Organization (NPI-2)
- Legal business name
- Gaeta Dental Health Professionals
- Organization subpart
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
609 S. Tamiami TrailVenice, FL 34285
Phone 941-486-0561
Mailing address
609 S. Tamiami TrailVenice, FL 34285
Phone 941-486-0561
Authorized official
Kathryn Janiszewska
Cfo
9414860561
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