Organization
APPLE MOBILE DENTAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACY SUZANNE RUSSELL (OWNER)
(217) 840-8177
Entity
Organization
Contact information
Practice address
2054 ALTA MEADOWS LN APT 2402, DELRAY BEACH, FL 33444-1185
(217) 840-8177
Mailing address
2054 ALTA MEADOWS LN APT 2402, DELRAY BEACH, FL 33444-1185
(217) 840-8177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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