Organization
BANYAN DENTAL GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE HOFFMAN D.D.S. (PRESIDENT)
(772) 567-2132
Entity
Organization
Contact information
Practice address
1820 58TH AVE, SUITE 101, VERO BEACH, FL 32966-4673
(772) 567-2132
Mailing address
1820 58TH AVE, SUITE 101, VERO BEACH, FL 32966-4673
(772) 567-2132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
03/17/2014
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