| Pelican Dental Care | |
|
1956 41st Ave Ste A Vero Beach FL 32960-2561 | |
| (772) 569-9781 | |
| (772) 569-9912 |
| Full Name | Pelican Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1956 41st Ave Ste A, Vero Beach, Florida |
| Authorized Official Name and Position | Liliana Perez (DENTIST) |
| Authorized Official Contact | 7725699781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelican Dental Care 1956 41st Ave Ste A Vero Beach FL 32960-2561 Ph: (772) 569-9781 | Pelican Dental Care 1956 41st Ave Ste A Vero Beach FL 32960-2561 Ph: (772) 569-9781 |
| NPI Number | 1598058174 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598058174 | NPI | - | NPPES |
| 0028294 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19163 (Florida) | Primary |
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