| Dr James W. Medlock D.d.s.,p.a | |
|
2326 S Congress Ave West Palm Beach FL 33406-7617 | |
| (561) 439-4620 | |
| (561) 439-6704 |
| Full Name | Dr James W. Medlock D.d.s.,p.a |
|---|---|
| Speciality | Dentist |
| Location | 2326 S Congress Ave, West Palm Beach, Florida |
| Authorized Official Name and Position | James W Medlock (PRESIDENT) |
| Authorized Official Contact | 5614394620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James W. Medlock D.d.s.,p.a 2326 S Congress Ave West Palm Beach FL 33406-7617 Ph: (561) 439-4620 | Dr James W. Medlock D.d.s.,p.a 2326 S Congress Ave West Palm Beach FL 33406-7617 Ph: (561) 439-4620 |
| NPI Number | 1710285739 |
|---|---|
| Provider Enumeration Date | 03/01/2011 |
| Last Update Date | 03/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710285739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 10346 (Florida) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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