Ion Orthodontics | |
1813 Se Port St Lucie Blvd Port St Lucie FL 34952-5544 | |
(772) 528-3434 | |
Not Available |
Full Name | Ion Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1813 Se Port St Lucie Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Marcela Matamoros (PRESIDENT) |
Authorized Official Contact | 7725283434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ion Orthodontics 1813 Se Port St Lucie Blvd Port St Lucie FL 34952-5544 Ph: () - | Ion Orthodontics 1813 Se Port St Lucie Blvd Port St Lucie FL 34952-5544 Ph: (772) 528-3434 |
NPI Number | 1669977203 |
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Provider Enumeration Date | 03/26/2018 |
Last Update Date | 03/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669977203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN20300 (Florida) | Primary |
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