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Organization
ATLANTIC DENTAL MANAGEMENT COMPANY PA
Active
Organization
ATLANTIC DENTAL MANAGEMENT COMPANY PA
Active
Other names
Lucie Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT AZARI (OWNER)
(772) 348-4409
Entity
Organization
Contact information
Practice address
1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1968
(772) 348-4409
(772) 348-4344
Mailing address
1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1968
(772) 348-4409
(772) 348-4344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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