| Tradition Parkway Dental Care | |
|
10670 Sw Tradition Pkwy Port St Lucie FL 34987-2862 | |
| (772) 204-0759 | |
| Not Available |
| Full Name | Tradition Parkway Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10670 Sw Tradition Pkwy, Port St Lucie, Florida |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tradition Parkway Dental Care 10670 Sw Tradition Pkwy Port St Lucie FL 34987-2862 Ph: () - | Tradition Parkway Dental Care 10670 Sw Tradition Pkwy Port St Lucie FL 34987-2862 Ph: (772) 204-0759 |
| NPI Number | 1366975575 |
|---|---|
| Provider Enumeration Date | 04/05/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366975575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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