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Organization
WHITE PALM DENTAL PA
Active
Organization
WHITE PALM DENTAL PA
Active
Other names
White Palm Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANCE SCOTT MCGAVIN DDS (OWNER)
(321) 473-6920
Entity
Organization
Contact information
Practice address
2305 VIDINA DR, #103, MELBOURNE, FL 32940-8066
(321) 473-6920
(321) 473-6930
Mailing address
2305 VIDINA DR, #103, MELBOURNE, FL 32940-8066
(321) 473-6920
(321) 473-6930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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