| Indian River Dentistry | |
|
2275 20th St Vero Beach FL 32960-6631 | |
| (772) 562-9200 | |
| Not Available |
| Full Name | Indian River Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2275 20th St, Vero Beach, Florida |
| Authorized Official Name and Position | Pam Hardiek (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian River Dentistry 2275 20th St Vero Beach FL 32960-6631 Ph: (772) 562-9200 | Indian River Dentistry 2275 20th St Vero Beach FL 32960-6631 Ph: (772) 562-9200 |
| NPI Number | 1033486667 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033486667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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