Balanced Dental | |
900 Se Ocean Blvd Ste 110b Stuart FL 34994-3503 | |
(954) 818-6102 | |
Not Available |
Full Name | Balanced Dental |
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Speciality | Clinic/center - Dental |
Location | 900 Se Ocean Blvd Ste 110b, Stuart, Florida |
Authorized Official Name and Position | David Creston Jackson (PRESIDENT) |
Authorized Official Contact | 7722472407 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Balanced Dental 900 Se Ocean Blvd Ste 110b Stuart FL 34994-3503 Ph: (772) 247-2407 | Balanced Dental 900 Se Ocean Blvd Ste 110b Stuart FL 34994-3503 Ph: (954) 818-6102 |
NPI Number | 1588187819 |
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Provider Enumeration Date | 07/18/2017 |
Last Update Date | 10/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588187819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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