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Organization
NEW IMAGE DENTISTRY OF BEACHSIDE
Active
Organization
NEW IMAGE DENTISTRY OF BEACHSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA JORDAN-WARD (OFFICE MANAGER)
(321) 777-7474
Entity
Organization
Contact information
Practice address
660 E EAU GALLIE BLVD, SUITE 1, INDIAN HARBOUR BEACH, FL 32937-0000
(321) 777-7474
(321) 777-7558
Mailing address
660 E EAU GALLIE BLVD, SUITE 1, INDIAN HARBOUR BEACH, FL 32937-4873
(321) 777-7474
(321) 777-7558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1341
FL
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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