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Organization
INDIGO DENTAL INC
Active
Organization
INDIGO DENTAL INC
Active
Other names
Indigo Dental of Daytona Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT LLOYD DDS (PRESIDENT)
(386) 253-3629
Entity
Organization
Contact information
Practice address
139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL 32114-1198
(386) 253-3629
(386) 253-3620
Mailing address
139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL 32114-1198
(386) 253-3629
(386) 253-3620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0013454
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/04/2006
Last updated
07/24/2024
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