Affordable Dentures & Implants - West Melbourne II, P.A.
Dentist, General Practice in West Melbourne, FL. Organization (NPI-2).
NPI number1265249676
StatusActive
Last updated in NPPESDec 18, 2024
Details
- NPI
- 1265249676
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - West Melbourne II, P.A.
- Organization subpart
- No
- Enumeration date
- Dec 18, 2024
- Certification date
- Dec 18, 2024
- Last updated
- Dec 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Affordable Dentures & Implants - West Melbourne (Doing Business As)
Practice location
1529 W New Haven AveWest Melbourne, FL 32904-3927
Phone 321-725-6570
Mailing address
1529 W New Haven AveWest Melbourne, FL 32904-3927
Phone 321-725-6570
Authorized official
Mark Coulter
Owner
3217256570
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