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Organization
SATELLITE FAMILY DENTISTRY
Active
Organization
SATELLITE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHERY B SHELLEY (OFFICE MANAGER)
(321) 773-7551
Entity
Organization
Contact information
Practice address
210 JACKSON AVE, SATELLITE BEACH, FL 32937
(321) 773-7551
(321) 773-4292
Mailing address
210 JACKSON AVE, SATELLITE BEACH, FL 32937
(321) 773-7551
(321) 773-4292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8781
FL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
11/06/2006
Last updated
07/30/2021
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