| Cdpg, P.l. | |
|
696 Country Club Dr Titusville FL 32780-4977 | |
| (321) 383-7828 | |
| Not Available |
| Full Name | Cdpg, P.l. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 696 Country Club Dr, Titusville, Florida |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdpg, P.l. 696 Country Club Dr Titusville FL 32780-4977 Ph: (321) 383-7828 | Cdpg, P.l. 696 Country Club Dr Titusville FL 32780-4977 Ph: (321) 383-7828 |
| NPI Number | 1508527243 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 01/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508527243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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