| Palm Tree Dental Center | |
|
6200 20th St Ste 292 Vero Beach FL 32966-1079 | |
| (772) 778-5773 | |
| (772) 778-6944 |
| Full Name | Palm Tree Dental Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6200 20th St Ste 292, Vero Beach, Florida |
| Authorized Official Name and Position | James Witulski (OWNER) |
| Authorized Official Contact | 7727785773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Tree Dental Center 6200 20th St Ste 292 Vero Beach FL 32966-1079 Ph: (772) 778-5773 | Palm Tree Dental Center 6200 20th St Ste 292 Vero Beach FL 32966-1079 Ph: (772) 778-5773 |
| NPI Number | 1790836294 |
|---|---|
| Provider Enumeration Date | 01/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790836294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN0013338 (Florida) | Primary |
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