Terrence Soule, Dds, Pa | |
2578 S Volusia Ave Orange City FL 32763-9124 | |
(386) 775-1552 | |
Not Available |
Full Name | Terrence Soule, Dds, Pa |
---|---|
Speciality | Dentist |
Location | 2578 S Volusia Ave, Orange City, Florida |
Authorized Official Name and Position | Ilene Pawlik (INSURANCE COORDINATOR) |
Authorized Official Contact | 3867751552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Terrence Soule, Dds, Pa 2578 S Volusia Ave Orange City FL 32763-9124 Ph: (386) 775-1552 | Terrence Soule, Dds, Pa 2578 S Volusia Ave Orange City FL 32763-9124 Ph: (386) 775-1552 |
NPI Number | 1144685488 |
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Provider Enumeration Date | 12/30/2015 |
Last Update Date | 12/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144685488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN18489 (Florida) | Primary |
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