| L & L Beach Street, Llc | |
|
208 South Beach Street Daytona Beach FL 32114 | |
| (386) 253-3413 | |
| (386) 253-6002 |
| Full Name | L & L Beach Street, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 South Beach Street, Daytona Beach, Florida |
| Authorized Official Name and Position | Eugene Joseph Lecompte (ORTHODONTIST) |
| Authorized Official Contact | 3862533413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L & L Beach Street, Llc 208 South Beach Street Daytona Beach FL 32114 Ph: (386) 253-3413 | L & L Beach Street, Llc 208 South Beach Street Daytona Beach FL 32114 Ph: (386) 253-3413 |
| NPI Number | 1003486671 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003486671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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