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1715 Cape Coral Pkwy W Suite #11 Cape Coral FL 33914-6914 | |
| (239) 542-3185 | |
| (239) 540-3883 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1715 Cape Coral Pkwy W, Cape Coral, Florida |
| Authorized Official Name and Position | Melody Parrish (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 3052742499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1715 Cape Coral Pkwy W Suite #11 Cape Coral FL 33914-6914 Ph: (239) 542-3185 | 1715 Cape Coral Pkwy W Suite #11 Cape Coral FL 33914-6914 Ph: (239) 542-3185 |
| NPI Number | 1215129275 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215129275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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