| Perdido Bay Dental Pa | |
|
12950 Lillian Hwy Pensacola FL 32506-8423 | |
| (850) 542-4428 | |
| (850) 607-7515 |
| Full Name | Perdido Bay Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 12950 Lillian Hwy, Pensacola, Florida |
| Authorized Official Name and Position | Slavoljub Djuric (PRESIDENT) |
| Authorized Official Contact | 8505424428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perdido Bay Dental Pa 12950 Lillian Hwy Pensacola FL 32506-8423 Ph: (850) 542-4428 | Perdido Bay Dental Pa 12950 Lillian Hwy Pensacola FL 32506-8423 Ph: (850) 542-4428 |
| NPI Number | 1225427818 |
|---|---|
| Provider Enumeration Date | 01/20/2015 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225427818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12887 (Florida) | Primary |
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