Organization
AGS DENTISTS OF FT. PIERCE
Active
Other names
Midway Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA DEJESUS (OPERATIONS)
(813) 340-0116
Entity
Organization
Contact information
Practice address
5054 S 25TH ST, FORT PIERCE, FL 34981-4923
(772) 464-4822
Mailing address
8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL 33472-4469
(561) 425-7999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
04/30/2024
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