| Palm Beach Blvd Dental | |
|
4901 Palm Beach Blvd Unit 110 Fort Myers FL 33905-3244 | |
| (941) 957-3703 | |
| Not Available |
| Full Name | Palm Beach Blvd Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4901 Palm Beach Blvd Unit 110, Fort Myers, Florida |
| Authorized Official Name and Position | Andrew J Martineau (DENTIST/OWNER) |
| Authorized Official Contact | 9419573703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Blvd Dental 4901 Palm Beach Blvd Unit 110 Fort Myers FL 33905-3244 Ph: () - | Palm Beach Blvd Dental 4901 Palm Beach Blvd Unit 110 Fort Myers FL 33905-3244 Ph: (941) 957-3703 |
| NPI Number | 1245654565 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245654565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12356 (Florida) | Primary |
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