Organization
A'S DENTAL SERVICES, LLC
Active
Other names
PROGRESSIVE DENTAL MANAGEMENT, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NERISSA AQUINO DDS (PROVIDER/OWNER)
(772) 878-5880
Entity
Organization
Contact information
Practice address
8511 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3346
(772) 878-5880
(772) 878-7475
Mailing address
8511 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-3346
(772) 878-5880
(772) 878-7475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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