Organization
ECONOMY DENTURES
Active
Parent organization
ECONOMY DENTURES OF SO DAYTONA
Other names
ECONOMY DENTURES OF SO DAYTONA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ECONOMY DENTURES OF SO DAYTONA
Authorized official
DR. LEROY R. POLITE (D.M.D)
(386) 761-9681
Entity
Organization
Contact information
Practice address
2400 S RIDGEWOOD AVE STE 10B, SOUTH DAYTONA, FL 32119-5005
(386) 761-9681
(386) 761-9107
Mailing address
2400 SOUTH RIDGEWOOD AVE #10B, SOUTH DAYTONA, FL 32119-3097
(386) 761-9681
(386) 761-9107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076873100
—
FL
Enumeration date
02/29/2008
Last updated
06/25/2008
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