DENTAL 192

General Practice Dentistry

NPI: 1346689791Organization

Specialties, Licenses & Credentials

General Practice DentistryPrimary

Dentist — General Practice

Code: 1223G0001X

DN17681(FL)DN17724(FL)

Contact & Hours

Address: 100 W NEW HAVEN AVE
MELBOURNE, FL 32901
Phone: (630) 659-5293

Quick Facts

NPI: 1346689791
Entity Type: Organization
Medicare: Not confirmed
Specialties: 2
Locations: 1

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