| Family Denistry Of Daytona Beach, Llc | |
|
244 N Frederick Ave Daytona Beach FL 32114-3408 | |
| (386) 255-0238 | |
| (386) 255-5566 |
| Full Name | Family Denistry Of Daytona Beach, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 244 N Frederick Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Robbin J Quarterman (DENTIST/OWNER) |
| Authorized Official Contact | 3862551799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Denistry Of Daytona Beach, Llc 244 N Frederick Ave Daytona Beach FL 32114-3408 Ph: (386) 255-0238 | Family Denistry Of Daytona Beach, Llc 244 N Frederick Ave Daytona Beach FL 32114-3408 Ph: (386) 255-0238 |
| NPI Number | 1871803817 |
|---|---|
| Provider Enumeration Date | 10/08/2010 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871803817 | NPI | - | NPPES |
| 077539896 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN9896 (Florida) | Primary |
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