Dental Service Group Llc | |
1960 25th Ave Ste 101 Vero Beach FL 32960-3015 | |
(772) 774-7787 | |
(772) 774-7877 |
Full Name | Dental Service Group Llc |
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Speciality | Dentist - General Practice |
Location | 1960 25th Ave Ste 101, Vero Beach, Florida |
Authorized Official Name and Position | Jeffrey Martin (MANAGING MEMBER / DENTIST) |
Authorized Official Contact | 7727747787 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Service Group Llc 1960 25th Ave Ste 101 Vero Beach FL 32960-3015 Ph: (772) 774-7787 | Dental Service Group Llc 1960 25th Ave Ste 101 Vero Beach FL 32960-3015 Ph: (772) 774-7787 |
NPI Number | 1730733163 |
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Provider Enumeration Date | 07/24/2019 |
Last Update Date | 07/24/2019 |
Identifier | Type | State | Issuer |
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1730733163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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