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Organization
OCEAN BREEZE DENTAL, PA
Active
Organization
OCEAN BREEZE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY L KALIMNIOS DMD (DENTIST/PRESIDENT)
(321) 433-1141
Entity
Organization
Contact information
Practice address
817 WESTPORT DR, ROCKLEDGE, FL 32955-3501
(321) 433-1141
(321) 433-1210
Mailing address
817 WESTPORT DR, ROCKLEDGE, FL 32955-3501
(321) 433-1141
(321) 433-1210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN15187
FL
122300000X
Dentist
DN19217
FL
122300000X
Dentist
Primary
DN19254
FL
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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