Organization
EDWARD F. BAINES, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD FLOYD BAINES D.D.S. (PRESIDENT)
(321) 951-1577
Entity
Organization
Contact information
Practice address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 951-1577
Mailing address
140 6TH AVE, INDIALANTIC, FL 32903-3204
(321) 951-1577
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
FL5975
FL
Other
Enumeration date
04/05/2007
Last updated
03/21/2008
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