# BEACHSIDE ORAL SURGERY AND IMPLANTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164801825
- **Authorized official:** MRS. JAYANTHI CHOPRA DDS (EMPLOYEE)
- **Authorized official phone:** (321) 473-8247

## Contact information

- **Practice address:** 205 E EAU GALLIE BLVD, 257, INDIAN HARBOUR BEACH, FL 32937-4873
- **Practice address phone:** (321) 473-8247
- **Mailing address:** 205 E EAUGALLE BLVD, 257, INDIAN HARBOURE BEACH, FL 32937
- **Mailing address phone:** (321) 473-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 18935 | FL | Yes |

## Other

- **Enumeration date:** 05/27/2015
- **Last updated:** 05/27/2015