Organization
INDIGO DENTAL INC
Active
Other names
Indigo Dental of Daytona Beach
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROBERT LLOYD DDS (PRESIDENT)
(386) 253-3629
Entity
Organization
Contact information
Practice address
139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL 32114-1198
(386) 253-3629
(386) 253-3620
Mailing address
139 EXECUTIVE CIR, SUITE 101, DAYTONA BEACH, FL 32114-1198
(386) 253-3629
(386) 253-3620
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN0013454
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/04/2006
Last updated
07/24/2024
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