| New Roots Dentistry Llc | |
|
198 S Nova Rd Ormond Beach FL 32174-6115 | |
| (786) 307-8655 | |
| Not Available |
| Full Name | New Roots Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 198 S Nova Rd, Ormond Beach, Florida |
| Authorized Official Name and Position | Yesell Candelario-benitez (OWNER) |
| Authorized Official Contact | 7863078655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Roots Dentistry Llc 198 S Nova Rd Ormond Beach FL 32174-6115 Ph: (786) 307-8655 | New Roots Dentistry Llc 198 S Nova Rd Ormond Beach FL 32174-6115 Ph: (786) 307-8655 |
| NPI Number | 1336849025 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336849025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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