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Organization
BEACHSIDE ORAL SURGERY AND IMPLANTS LLC
Active
Organization
BEACHSIDE ORAL SURGERY AND IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYANTHI CHOPRA DDS (EMPLOYEE)
(321) 473-8247
Entity
Organization
Contact information
Practice address
205 E EAU GALLIE BLVD, 257, INDIAN HARBOUR BEACH, FL 32937-4873
(321) 473-8247
Mailing address
205 E EAUGALLE BLVD, 257, INDIAN HARBOURE BEACH, FL 32937
(321) 473-8247
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18935
FL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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