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Organization
PERDIDO BAY DENTAL PA
Active
Organization
PERDIDO BAY DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SLAVOLJUB DJURIC D.D.S. (PRESIDENT)
(850) 542-4428
Entity
Organization
Contact information
Practice address
12950 LILLIAN HWY, PENSACOLA, FL 32506-8423
(850) 542-4428
(850) 607-7515
Mailing address
12950 LILLIAN HWY, PENSACOLA, FL 32506-8423
(850) 542-4428
(850) 607-7515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12887
FL
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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