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Individual

DR. BEN D EMERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.D.

Contact information

Practice address
3730 7TH TER, SUITE # 301, VERO BEACH, FL 32960-7324
(772) 569-9700
(772) 569-9704
Mailing address
3730 7TH TER, SUITE # 301, VERO BEACH, FL 32960-7324
(772) 569-9700
(772) 569-9704

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0003923
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003923
DENTAL NUMBER
FL
01
42017
ME
FL
Enumeration date
03/07/2007
Last updated
03/07/2023
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