| Dental Arts Of St Lucie West Inc | |
|
1420 Sw St Lucie West Blvd Suite 105 Port St Lucie FL 34986-1709 | |
| (772) 878-7300 | |
| (772) 878-9200 |
| Full Name | Dental Arts Of St Lucie West Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1420 Sw St Lucie West Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Andrew Todd Lager (PRESIDENT) |
| Authorized Official Contact | 7728787300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Arts Of St Lucie West Inc 1420 Sw St Lucie West Blvd Suite 105 Port St Lucie FL 34986-1709 Ph: (772) 878-7300 | Dental Arts Of St Lucie West Inc 1420 Sw St Lucie West Blvd Suite 105 Port St Lucie FL 34986-1709 Ph: (772) 878-7300 |
| NPI Number | 1053420661 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053420661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14323 (Florida) | Primary |
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