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Federico Grande, D.D.S., M.D.

Dentist, Oral and Maxillofacial Surgery in Stuart, FL. Individual provider (NPI-1).

NPI number1396852257
StatusActive
Last updated in NPPESAug 29, 2022

Details

NPI
1396852257
Entity type
Individual (NPI-1)
Name
Federico Grande
Credential
D.D.S., M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 24, 2006
Certification date
Aug 29, 2022
Last updated
Aug 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223S0112X Dentist, Oral and Maxillofacial SurgeryDN14859FLYes

Practice location

650 Se Indian St Ste 2
Stuart, FL 34997-5565

Phone 772-510-5900 · Fax 772-209-6231

Mailing address

650 Se Indian St Ste 2
Stuart, FL 34997-5565

Phone 772-510-5900 · Fax 772-209-6231

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