Organization
AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FENTON (DMD/PRACTICE OWNER)
(772) 398-7790
Entity
Organization
Contact information
Practice address
9140 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3485
(772) 398-7790
Mailing address
9140 S FEDERAL HWY, PORT ST LUCIE, FL 34952-3485
(772) 398-7790
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19223
FL
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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