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Dr. Christian Vidalon, DMD

Dentist, General Practice in Melbourne, FL. Individual provider (NPI-1).

NPI number1295264232
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1295264232
Entity type
Individual (NPI-1)
Name
Dr. Christian Vidalon
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2017
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN22595FLYes

Practice location

7827 N Wickham Rd Ste C
Melbourne, FL 32940-8289

Phone 321-434-4444

Mailing address

2175 Judge Fran Jamieson Way # 1-104
Viera, FL 32940-6175

Other practice locations

3226 Lake Washington Rd
Melbourne, FL 32934-7620

Phone 321-255-1991

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