Organization
DAVID J. KRYNAUW, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J KRYNAUW DDS (OWNER)
(772) 335-0993
Entity
Organization
Contact information
Practice address
1761 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-0993
(772) 335-8192
Mailing address
1761 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5479
(772) 335-0993
(772) 335-8192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13287
FL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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