Demetrius Marketing Llc | |
2570 South Atlantic Ave. Marina Dental Center Daytona Beach Shores FL 32118 | |
(386) 304-2679 | |
Not Available |
Full Name | Demetrius Marketing Llc |
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Speciality | Dentist |
Location | 2570 South Atlantic Ave., Daytona Beach Shores, Florida |
Authorized Official Name and Position | Cynthia J Popa (DENTIST) |
Authorized Official Contact | 4072122194 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Demetrius Marketing Llc 775 Shropshire Loop Sanford FL 32771 Ph: () - | Demetrius Marketing Llc 2570 South Atlantic Ave. Marina Dental Center Daytona Beach Shores FL 32118 Ph: (386) 304-2679 |
NPI Number | 1104190792 |
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Provider Enumeration Date | 02/29/2012 |
Last Update Date | 02/29/2012 |
Identifier | Type | State | Issuer |
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1104190792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN13779 (Florida) | Primary |
Marina Dental Center Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2570 S Atlantic Ave, Daytona Beach Shores, FL 32118 Phone: 386-304-2677 Fax: 386-304-1899 |