Perdido Bay Dental Pa

NPI 1225427818 - Dentist - 122300000X

NPI Details
NPI 1225427818
Enumeration Date 01/20/2015
Last Updated 01/20/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SLAVOLJUB SLAVOLJUB
Position PRESIDENT
Phone (850) 542-4428
Fax (850) 607-7515
Practice Location
12950 LILLIAN HWY
PENSACOLA FL, 32506-8423, US
Phone (850) 542-4428
Fax (850) 607-7515
Business Location
12950 LILLIAN HWY
PENSACOLA FL, 32506-8423, US
Phone (850) 542-4428
Fax (850) 607-7515
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN12887
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According to our database, Perdido Bay Dental Pa NPI is 1225427818, taxonomy code is 122300000X and license number is DN12887, license state is located at Florida. Perdido Bay Dental Pa physically located at 12950 Lillian Hwy, Pensacola FL, 32506-8423. NPI Number 1033115704 has the healthcare provider type.

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1225427818 NPI number is provided on an as is basis without warranty of any kind. 1225427818 is maintained by the National Plan & Provider Enumeration System. The contents of Perdido Bay Dental Pa are for informational purposes only.