Organization
AFFORDABLE DENTURES & IMPLANTS - WEST MELBOURNE II, P.A.
Active
Other names
Affordable Dentures & Implants - West Melbourne
Organization subpart
No
Provider details
NPI number
Authorized official
MARK COULTER DDS (OWNER)
(321) 725-6570
Entity
Organization
Contact information
Practice address
1529 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3927
(321) 725-6570
Mailing address
1529 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3927
(321) 725-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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