Organization
ARTISTIC CENTER FOR DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHLEEN DIEM LUONG DMD (DENTIST)
(386) 760-0366
Entity
Organization
Contact information
Practice address
5820 S WILLIAMSON BLVD, SUITE #1, PORT ORANGE, FL 32128-6400
(386) 760-0366
Mailing address
5820 S WILLIAMSON BLVD, SUITE #1, PORT ORANGE, FL 32128-6400
(386) 760-0366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
FL
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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