Individual
DR. JOSHUA CHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1384 SW ST. LUCIE WEST BLVD, PORT ST. LUCIE, FL 34986
(772) 249-0488
Mailing address
1384 SW ST. LUCIE WEST BLVD, PORT ST. LUCIE, FL 34986
(772) 249-0488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21315
FL
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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