| Desman Orthodontics Pa | |
|
376 Sw Prima Vista Blvd Port St Lucie FL 34983-1984 | |
| (772) 340-0023 | |
| Not Available |
| Full Name | Desman Orthodontics Pa |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 376 Sw Prima Vista Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Alexander Robert Desman (ORTHODONTIST) |
| Authorized Official Contact | 7723491092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desman Orthodontics Pa 376 Sw Prima Vista Blvd Port St Lucie FL 34983-1984 Ph: () - | Desman Orthodontics Pa 376 Sw Prima Vista Blvd Port St Lucie FL 34983-1984 Ph: (772) 340-0023 |
| NPI Number | 1275385288 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275385288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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