Organization
BOULEVARD DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CAIRNS (OWNER)
(772) 337-1111
Entity
Organization
Contact information
Practice address
1343 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5366
(772) 337-1111
Mailing address
1343 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5366
(772) 337-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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