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Organization
EDWARD F. BAINES, D.D.S., P.A.
Active
Organization
EDWARD F. BAINES, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FLOYD BAINES D.D.S. (PRESIDENT)
(321) 951-1577
Entity
Organization
Contact information
Practice address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 951-1577
Mailing address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 951-1577
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
FL5975
FL
Other
Enumeration date
04/05/2007
Last updated
03/21/2008
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