Organization
COSMETIC DENTISTRY OF STUART, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A VINCENZO D.D.S. (DENTIST/OWNER)
(772) 220-3720
Entity
Organization
Contact information
Practice address
725 SE 5TH ST, STUART, FL 34994-2359
(772) 220-3720
(772) 221-0574
Mailing address
725 SE 5TH ST, STUART, FL 34994-2359
(772) 220-3720
(772) 221-0574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10184
FL
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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