Organization
ATLANTIC DENTAL MANAGEMENT COMPANY PA
Active
Other names
Lucie Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT AZARI (OWNER)
(772) 348-4409
Entity
Organization
Contact information
Practice address
1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1968
(772) 348-4409
(772) 348-4344
Mailing address
1449 NW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-1968
(772) 348-4409
(772) 348-4344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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