| Boulevard Dental Associates | |
|
1343 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5366 | |
| (772) 337-1111 | |
| Not Available |
| Full Name | Boulevard Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1343 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | John Cairns (OWNER) |
| Authorized Official Contact | 7723371111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulevard Dental Associates 1343 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5366 Ph: (772) 337-1111 | Boulevard Dental Associates 1343 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5366 Ph: (772) 337-1111 |
| NPI Number | 1508116781 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508116781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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