Organization
DESMAN ORTHODONTICS PA
Active
Other names
Desman and Jacobus Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ROBERT DESMAN DMD, MS (ORTHODONTIST)
(772) 349-1092
Entity
Organization
Contact information
Practice address
376 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-1984
(772) 340-0023
Mailing address
376 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-1984
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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