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Organization
WESTBERRY DENTAL LLC
Active
Organization
WESTBERRY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA KEEN DENTAL ASST (OFFICE MANAGER)
(386) 761-8822
Entity
Organization
Contact information
Practice address
3120 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3548
(386) 761-8822
(386) 761-8842
Mailing address
3120 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3548
(386) 761-8822
(386) 761-8842
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9504
FL
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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