| Grande Oral Specialties | |
|
650 Se Indian St Ste 2 Stuart FL 34997-5565 | |
| (772) 510-5900 | |
| Not Available |
| Full Name | Grande Oral Specialties |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 650 Se Indian St Ste 2, Stuart, Florida |
| Authorized Official Name and Position | Federico Grande (OWNER) |
| Authorized Official Contact | 7725105900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grande Oral Specialties 650 Se Indian St Ste 2 Stuart FL 34997-5565 Ph: (772) 510-5900 | Grande Oral Specialties 650 Se Indian St Ste 2 Stuart FL 34997-5565 Ph: (772) 510-5900 |
| NPI Number | 1366166076 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366166076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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