| Florida Prosthodontics Pa | |
|
2180 N Courtenay Pkwy Merritt Island FL 32953-4236 | |
| (321) 452-3388 | |
| Not Available |
| Full Name | Florida Prosthodontics Pa |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2180 N Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Sundeep R Rawal (PRESIDENT) |
| Authorized Official Contact | 3214523388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Prosthodontics Pa 2180 N Courtenay Pkwy Merritt Island FL 32953-4236 Ph: (321) 452-3388 | Florida Prosthodontics Pa 2180 N Courtenay Pkwy Merritt Island FL 32953-4236 Ph: (321) 452-3388 |
| NPI Number | 1659714095 |
|---|---|
| Provider Enumeration Date | 04/16/2013 |
| Last Update Date | 04/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659714095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DN17718 (Florida) | Primary |
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Duongvannak Keo, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 295 S. Plumosa, Merritt Island, FL 32952 Phone: 321-452-6000 Fax: 321-453-8823 | |
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Frederick H. Waggener Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Parnell St, Merritt Island, FL 32953 Phone: 321-452-8190 Fax: 321-454-4822 | |
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