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Organization
FAMILY DENISTRY OF DAYTONA BEACH, LLC
Active
Organization
FAMILY DENISTRY OF DAYTONA BEACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBBIN J QUARTERMAN DMD (DENTIST/OWNER)
(386) 255-1799
Entity
Organization
Contact information
Practice address
244 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3408
(386) 255-0238
(386) 255-5566
Mailing address
244 N FREDERICK AVE, DAYTONA BEACH, FL 32114-3408
(386) 255-0238
(386) 255-5566
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN9896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077539896
—
FL
Enumeration date
10/08/2010
Last updated
10/08/2010
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