| Azgan Dental Management Company Pllc | |
|
1465 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 | |
| (772) 348-4403 | |
| Not Available |
| Full Name | Azgan Dental Management Company Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1465 Nw Saint Lucie West Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Suzel Gonzalez (BILLING DIRECTOR) |
| Authorized Official Contact | 7728124903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azgan Dental Management Company Pllc 1465 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 Ph: (772) 348-4403 | Azgan Dental Management Company Pllc 1465 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 Ph: (772) 348-4403 |
| NPI Number | 1760106967 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760106967 | NPI | - | NPPES |
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