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Organization
SHORELINESMILES PA
Active
Organization
SHORELINESMILES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF V. RISO DDS (OWNER)
(561) 743-8877
Entity
Organization
Contact information
Practice address
1230 W INDIANTOWN RD, SUITE 101, JUPITER, FL 33458-3904
(561) 743-8877
Mailing address
1230 W INDIANTOWN RD, SUITE 101, JUPITER, FL 33458-8825
(561) 743-8877
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16427
FL
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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