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Organization
SEACREST DENTAL SERVICES LLC
Active
Organization
SEACREST DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REESE RUDER D.D.S. (CO-OWNER)
(850) 624-9717
Entity
Organization
Contact information
Practice address
66 N HOLIDAY RD, MIRAMAR BEACH, FL 32550-6936
(850) 213-2626
Mailing address
66 N HOLIDAY RD, MIRAMAR BEACH, FL 32550-6936
(850) 213-2626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20813
FL
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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