Organization
TREASURE COAST ORAL & MAXILLOFACIAL SURG & DENTAL IMPLANT SURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE KAUFFMAN (OFFICE MANAGER)
(772) 337-4798
Entity
Organization
Contact information
Practice address
1265 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5376
(772) 337-4798
(772) 337-2004
Mailing address
1265 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5376
(772) 337-4798
(772) 337-2004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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