| Dentistry By Design, Llc | |
|
672 Sw Prima Vista Blvd 202 Port St Lucie FL 34983-1820 | |
| (772) 905-2741 | |
| (772) 336-8266 |
| Full Name | Dentistry By Design, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 672 Sw Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Mazin Shikara (OWNER) |
| Authorized Official Contact | 5619320995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry By Design, Llc Po Box 69 Jupiter FL 33468-0069 Ph: (561) 932-0995 | Dentistry By Design, Llc 672 Sw Prima Vista Blvd 202 Port St Lucie FL 34983-1820 Ph: (772) 905-2741 |
| NPI Number | 1700121977 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700121977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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