| Aquidel Dental Services, Llc | |
|
11574 Sw Village Pkwy Port St Lucie FL 34987-2392 | |
| (772) 204-3113 | |
| Not Available |
| Full Name | Aquidel Dental Services, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11574 Sw Village Pkwy, Port St Lucie, Florida |
| Authorized Official Name and Position | Myrene Myrene (BILLING STAFF) |
| Authorized Official Contact | 5165968123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aquidel Dental Services, Llc 11574 Sw Village Pkwy Port St Lucie FL 34987-2392 Ph: () - | Aquidel Dental Services, Llc 11574 Sw Village Pkwy Port St Lucie FL 34987-2392 Ph: (772) 204-3113 |
| NPI Number | 1649907809 |
|---|---|
| Provider Enumeration Date | 08/06/2022 |
| Last Update Date | 08/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649907809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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