Organization
APPEARANCE IMPLANT AND LASER DENTISTRY OF JUPITER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE BYRON HARROUFF DDS (PRESIDENT)
(561) 741-7142
Entity
Organization
Contact information
Practice address
6390 W INDIANTOWN RD STE 32, JUPITER, FL 33458-7980
(561) 741-7142
(561) 741-7914
Mailing address
267 RIVER DR, TEQUESTA, FL 33469-1933
(561) 745-7186
(561) 743-8306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10761
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN10761
DENTAL LICENSE
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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