| Dynamic Lives | |
|
464 S Ridgewood Ave Daytona Beach FL 32114-4928 | |
| (386) 255-8866 | |
| Not Available |
| Full Name | Dynamic Lives |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 464 S Ridgewood Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Ramanpreet Kaur Randhawa-kohli (DENTIST) |
| Authorized Official Contact | 3863346085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Lives 464 S Ridgewood Ave Daytona Beach FL 32114-4928 Ph: (386) 255-8866 | Dynamic Lives 464 S Ridgewood Ave Daytona Beach FL 32114-4928 Ph: (386) 255-8866 |
| NPI Number | 1255191300 |
|---|---|
| Provider Enumeration Date | 03/19/2024 |
| Last Update Date | 03/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255191300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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