Provider Demographics
NPI:1558409169
Name:ACQUARO, RONALD S (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:ACQUARO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5714 21ST AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5606
Mailing Address - Country:US
Mailing Address - Phone:941-792-6272
Mailing Address - Fax:941-792-1795
Practice Address - Street 1:5714 21ST AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-5606
Practice Address - Country:US
Practice Address - Phone:941-792-6272
Practice Address - Fax:941-792-1795
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL56151223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry