Organization
MARINA POINTE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO ANDRES NIEVES MONTALVO DMD (OWNER)
(786) 451-0701
Entity
Organization
Contact information
Practice address
2407 W 11TH ST, PANAMA CITY, FL 32401-1634
(786) 451-0701
Mailing address
43 SPOONBILL RD, SANTA ROSA BEACH, FL 32459-6857
(786) 451-0701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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