Organization
ATLANTIC COAST PROSTHODONTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. WHITSITT (OWNER)
(386) 239-7600
Entity
Organization
Contact information
Practice address
1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
(386) 239-7600
(386) 239-7088
Mailing address
1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
(386) 239-7600
(386) 239-7088
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
10669
FL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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