Organization
BEACHSIDE ORAL SURGERY AND IMPLANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYANTHI CHOPRA DDS (EMPLOYEE)
(321) 473-8247
Entity
Organization
Contact information
Practice address
205 E EAU GALLIE BLVD, 257, INDIAN HARBOUR BEACH, FL 32937-4873
(321) 473-8247
Mailing address
205 E EAUGALLE BLVD, 257, INDIAN HARBOURE BEACH, FL 32937
(321) 473-8247
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18935
FL
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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