| Bwm Dentistry Pa | |
|
1415 Governors Square Blvd Tallahassee FL 32301-3049 | |
| (850) 688-9095 | |
| Not Available |
| Full Name | Bwm Dentistry Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1415 Governors Square Blvd, Tallahassee, Florida |
| Authorized Official Name and Position | Brandon Meckelberg (OWNER) |
| Authorized Official Contact | 8506889095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bwm Dentistry Pa Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Bwm Dentistry Pa 1415 Governors Square Blvd Tallahassee FL 32301-3049 Ph: (850) 688-9095 |
| NPI Number | 1447753090 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447753090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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