Atlantic Coast Prosthodontics, Inc. | |
1509 Mason Ave Daytona Beach FL 32117-4548 | |
(386) 239-7600 | |
(386) 239-7088 |
Full Name | Atlantic Coast Prosthodontics, Inc. |
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Speciality | Dentist - Prosthodontics |
Location | 1509 Mason Ave, Daytona Beach, Florida |
Authorized Official Name and Position | John A. Whitsitt (OWNER) |
Authorized Official Contact | 3862397600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlantic Coast Prosthodontics, Inc. 1509 Mason Ave Daytona Beach FL 32117-4548 Ph: (386) 239-7600 | Atlantic Coast Prosthodontics, Inc. 1509 Mason Ave Daytona Beach FL 32117-4548 Ph: (386) 239-7600 |
NPI Number | 1477795482 |
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Provider Enumeration Date | 04/06/2009 |
Last Update Date | 04/06/2009 |
Identifier | Type | State | Issuer |
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1477795482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 10669 (Florida) | Primary |
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