| Orbit Dental Management Pa | |
|
1453 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 | |
| (772) 348-4403 | |
| (772) 348-4342 |
| Full Name | Orbit Dental Management Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1453 Nw Saint Lucie West Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Mikhail Gankin (OWNER) |
| Authorized Official Contact | 7723484403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orbit Dental Management Pa 1453 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 Ph: (772) 348-4403 | Orbit Dental Management Pa 1453 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1968 Ph: (772) 348-4403 |
| NPI Number | 1154935799 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154935799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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