Your Dentist Inc

NPI 1023189693 - Dentist - 122300000X

NPI Details
NPI 1023189693
Enumeration Date 11/13/2006
Last Updated 08/13/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL T MICHAEL
Position OWNER PRESIDENT OF CORP DENTIST
Phone (386) 760-5511
Fax (386) 760-7848
Practice Location
310 BELLEWOOD AVE
SOUTH DAYTONA FL, 32119, US
Phone (386) 760-5511
Fax (386) 760-7848
Business Location
310 BELLEWOOD AVE
SOUTH DAYTONA FL, 32119, US
Phone (386) 760-5511
Fax (386) 760-7848
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number 6899
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According to our database, Your Dentist Inc NPI is 1023189693, taxonomy code is 122300000X and license number is 6899, license state is located at Florida. Your Dentist Inc physically located at 310 Bellewood Ave, South Daytona FL, 32119. NPI Number 1033115704 has the healthcare provider type.

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1023189693 NPI number is provided on an as is basis without warranty of any kind. 1023189693 is maintained by the National Plan & Provider Enumeration System. The contents of Your Dentist Inc are for informational purposes only.