| Shoreline Dental Studio Pllc | |
|
34 Walter Martin Rd Ne Fort Walton Beach FL 32548-4960 | |
| (760) 528-0275 | |
| Not Available |
| Full Name | Shoreline Dental Studio Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 34 Walter Martin Rd Ne, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Ashley Dubois (OWNER/MEMBER) |
| Authorized Official Contact | 7605280275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Dental Studio Pllc 4 Okahatchee Cir Se Fort Walton Beach FL 32548-5711 Ph: () - | Shoreline Dental Studio Pllc 34 Walter Martin Rd Ne Fort Walton Beach FL 32548-4960 Ph: (760) 528-0275 |
| NPI Number | 1750049417 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750049417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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