Affordable Dentures & Implants - Vero Beach, P.A.
Dentist, General Practice in Vero Beach, FL. Organization (NPI-2).
NPI number1649099078
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1649099078
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - Vero Beach, P.A.
- Organization subpart
- No
- Enumeration date
- Oct 3, 2024
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Affordable Dentures & Implants - Vero Beach (Doing Business As)
Practice location
5986 20th StVero Beach, FL 32966-1019
Phone 772-539-0220
Mailing address
5986 20th StVero Beach, FL 32966-1019
Phone 772-539-0220
Authorized official
Mark G. Coulter
Owner
7725390220
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