Provider Demographics
NPI:1003691825
Name:LANDIN DENTAL CARE
Entity Type:Organization
Organization Name:LANDIN DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GRETHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDIN SAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-554-8729
Mailing Address - Street 1:3354 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8904
Mailing Address - Country:US
Mailing Address - Phone:941-554-8729
Mailing Address - Fax:941-487-7634
Practice Address - Street 1:3354 17TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-8904
Practice Address - Country:US
Practice Address - Phone:941-554-8729
Practice Address - Fax:941-487-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental