Organization
CDPG, P.L.
Active
Parent organization
CDPG, P.L.
Other names
Christie Dental of Suntree
Organization subpart
Yes
Provider details
NPI number
Legal business name
CDPG, P.L.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
6300 N WICKHAM RD STE 121, MELBOURNE, FL 32940-2023
(321) 259-5257
Mailing address
6300 N WICKHAM RD STE 121, MELBOURNE, FL 32940-2023
(321) 259-5257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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