| Seacrest Dental Ii Llc | |
|
66 N Holiday Rd Miramar Beach FL 32550-6936 | |
| (850) 231-3736 | |
| (888) 654-4326 |
| Full Name | Seacrest Dental Ii Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66 N Holiday Rd, Miramar Beach, Florida |
| Authorized Official Name and Position | Fred Edwin Ruder (CO-OWNER) |
| Authorized Official Contact | 8502313736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacrest Dental Ii Llc 5399 E County Highway 30a Suite 1 Santa Rosa Beach FL 32459-6717 Ph: (850) 231-3736 | Seacrest Dental Ii Llc 66 N Holiday Rd Miramar Beach FL 32550-6936 Ph: (850) 231-3736 |
| NPI Number | 1538591706 |
|---|---|
| Provider Enumeration Date | 07/30/2013 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538591706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN10145 (Florida) | Primary |
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