Organization · NPI-2
David W Yates Dmd PC
Durable Medical Equipment & Medical Supplies, Customized Equipment · Palm Beach Gardens, FL
NPI number1497132955
StatusActive
Last updated in NPPESNov 17, 2015
Details
- NPI
- 1497132955
- Entity type
- Organization (NPI-2)
- Legal business name
- David W Yates Dmd PC
- Organization subpart
- No
- Enumeration date
- May 4, 2015
- Last updated
- Nov 17, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | DN16095 | FL | Yes |
Practice location
5520 Pga BlvdSte 208
Palm Beach Gardens, FL 33418-3981
Phone 561-776-6177 · Fax 561-776-3745
Mailing address
5520 Pga BlvdSte 208
Palm Beach Gardens, FL 33418-3981
Phone 561-776-6177 · Fax 561-776-3745
Authorized official
David Ward Yates
Presidnet/Owner
5617766177
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