Al Bucaj Dmd PA
Dentist in Vero Beach, FL. Organization (NPI-2).
NPI number1245673904
StatusActive
Last updated in NPPESApr 12, 2013
Details
- NPI
- 1245673904
- Entity type
- Organization (NPI-2)
- Legal business name
- Al Bucaj Dmd PA
- Organization subpart
- No
- Enumeration date
- Apr 12, 2013
- Last updated
- Apr 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN17124 | FL | Yes |
Practice location
1880 37th StSuite 3
Vero Beach, FL 32960-6591
Phone 772-567-9550 · Fax 772-567-9517
Mailing address
1880 37th StSuite 3
Vero Beach, FL 32960-6591
Phone 772-567-9550 · Fax 772-567-9517
Authorized official
Al Bucaj
President/Owner
7725679550
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