Individual
DR. BRIAN JOSEPH DIMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 S CENTRAL BLVD, SUITE A, JUPITER, FL 33458-8819
(315) 521-8078
Mailing address
7659 PELICAN POINTE DR, JENSEN BEACH, FL 34957-2002
(315) 521-8078
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
P44261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN 18566
FL LICENSE NUMBER
FL
01
—
P44261
NY STATE PERMIT NUMBER
NY
Enumeration date
04/04/2007
Last updated
04/20/2011
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