| Tradition Dental Group | |
|
1973 Sw Savage Blvd Ste 205 Port St Lucie FL 34953-2791 | |
| (772) 207-1213 | |
| (772) 877-2862 |
| Full Name | Tradition Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1973 Sw Savage Blvd Ste 205, Port St Lucie, Florida |
| Authorized Official Name and Position | Mina Harrouff (SECRETARY) |
| Authorized Official Contact | 5614015006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tradition Dental Group 1973 Sw Savage Blvd Ste 205 Port St Lucie FL 34953-2791 Ph: (772) 207-1213 | Tradition Dental Group 1973 Sw Savage Blvd Ste 205 Port St Lucie FL 34953-2791 Ph: (772) 207-1213 |
| NPI Number | 1801304977 |
|---|---|
| Provider Enumeration Date | 01/11/2018 |
| Last Update Date | 01/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801304977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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