| Ballet Dental Care | |
|
1857 Providence Blvd Deltona FL 32725-3811 | |
| (321) 283-2850 | |
| (386) 951-4809 |
| Full Name | Ballet Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1857 Providence Blvd, Deltona, Florida |
| Authorized Official Name and Position | Lourdes V Ballet (OWNER) |
| Authorized Official Contact | 3212832850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballet Dental Care 1857 Providence Blvd Deltona FL 32725-3811 Ph: (321) 283-2850 | Ballet Dental Care 1857 Providence Blvd Deltona FL 32725-3811 Ph: (321) 283-2850 |
| NPI Number | 1932499639 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932499639 | NPI | - | NPPES |
| 83043 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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