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ANDREA ACKLEY DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1417440637

Individual Registrant:
 ANDREA  ACKLEY DMD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8446 LOCKWOOD RIDGE RD  SARASOTA, FL 34243 US
Tel: 607-591-5866  Fax: --

Contact information for business:
8446 LOCKWOOD RIDGE RD  SARASOTA, FL 34243-2920 US
Tel: 607-591-5866  Fax: --

Registration Information:
NPI: 1417440637
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN23486

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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