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Organization
BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC
Active
Organization
BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH MARK EICHSTAEDT D.D.S. (PRESIDENT/ORAL SURGEON)
(727) 581-3300
Entity
Organization
Contact information
Practice address
100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
(727) 581-3300
(727) 581-3302
Mailing address
100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
(727) 581-3300
(727) 581-3302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15139
FL
Other
Enumeration date
12/03/2010
Last updated
03/31/2014
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