| Kenneth A Mogell Dmd Pa | |
|
3735 11th Cir Ste 105 Vero Beach FL 32960-4844 | |
| (772) 882-6800 | |
| (772) 882-6802 |
| Full Name | Kenneth A Mogell Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 3735 11th Cir, Vero Beach, Florida |
| Authorized Official Name and Position | Kenneth A Mogell (PRESIDENT) |
| Authorized Official Contact | 7728826800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Mogell Dmd Pa 2900 N Military Trl Ste 212 Boca Raton FL 33431-6308 Ph: (561) 394-9000 | Kenneth A Mogell Dmd Pa 3735 11th Cir Ste 105 Vero Beach FL 32960-4844 Ph: (772) 882-6800 |
| NPI Number | 1063760445 |
|---|---|
| Provider Enumeration Date | 08/16/2012 |
| Last Update Date | 08/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063760445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10118 (Florida) | Primary |
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