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Organization
PALM BEACH BLVD DENTAL
Active
Organization
PALM BEACH BLVD DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J MARTINEAU DMD (DENTIST/OWNER)
(941) 957-3703
Entity
Organization
Contact information
Practice address
4901 PALM BEACH BLVD UNIT 110, FORT MYERS, FL 33905-3244
(941) 957-3703
Mailing address
4901 PALM BEACH BLVD UNIT 110, FORT MYERS, FL 33905-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN12356
FL
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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