| Regency Dental | |
|
910 Sw Saint Lucie West Blvd Port St Lucie FL 34986-1766 | |
| (772) 785-9515 | |
| (772) 785-5308 |
| Full Name | Regency Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 Sw Saint Lucie West Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Manhal Yazji (DENTAL DIRECTOR) |
| Authorized Official Contact | 7727859515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regency Dental 910 Sw Saint Lucie West Blvd Port St Lucie FL 34986-1766 Ph: (772) 785-9515 | Regency Dental 910 Sw Saint Lucie West Blvd Port St Lucie FL 34986-1766 Ph: (772) 785-9515 |
| NPI Number | 1538184148 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538184148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN11753 (Florida) | Primary |
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