Alligator Dental Corporation
Dentist in Vero Beach, FL. Organization (NPI-2).
NPI number1619737640
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1619737640
- Entity type
- Organization (NPI-2)
- Legal business name
- Alligator Dental Corporation
- Organization subpart
- No
- Enumeration date
- Mar 19, 2024
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
5245 41st StVero Beach, FL 32967-1619
Phone 772-202-9558
Mailing address
85 Argonaut Ste 220Aliso Viejo, CA 92656-4105
Phone 949-305-2253
Authorized official
Jared Woolf
Owner
9493052253
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