Dental Usa | |
1540 Cornerstone Blvd Suite 100 Daytona Beach FL 32117 | |
(386) 243-9950 | |
(386) 319-9099 |
Full Name | Dental Usa |
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Speciality | Clinic/center - Dental |
Location | 1540 Cornerstone Blvd, Daytona Beach, Florida |
Authorized Official Name and Position | Eugene Joseph Lecompte (OWNER/MANAGER) |
Authorized Official Contact | 3862953815 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Usa 3890 Turtle Creek Drive Suite A Port Orange FL 32127 Ph: (386) 761-5440 | Dental Usa 1540 Cornerstone Blvd Suite 100 Daytona Beach FL 32117 Ph: (386) 243-9950 |
NPI Number | 1780172791 |
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Provider Enumeration Date | 04/25/2018 |
Last Update Date | 04/25/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780172791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DN7283 (Florida) | Primary |
261QD0000X | Clinic/center - Dental | DN12922 (Florida) | Secondary |
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