Organization
DRS ETHEREDGE & SCHRY DENTAL
Active
Other names
Smiles In The Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ETHEREDGE (DENTIST/OWNER)
(561) 627-9056
Entity
Organization
Contact information
Practice address
3365 BURNS RD STE 212, PALM BEACH GARDENS, FL 33410-4308
(561) 627-9056
Mailing address
3365 BURNS RD STE 212, PALM BEACH GARDENS, FL 33410-4308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15646
FL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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