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Organization
AGS DENTISTS OF FT. PIERCE
Active
Organization
AGS DENTISTS OF FT. PIERCE
Active
Other names
Midway Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA DEJESUS (OPERATIONS)
(813) 340-0116
Entity
Organization
Contact information
Practice address
5054 S 25TH ST, FORT PIERCE, FL 34981-4923
(772) 464-4822
Mailing address
8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL 33472-4469
(561) 425-7999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
04/30/2024
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