Organization
DR JAMES W. MEDLOCK D.D.S.,P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W MEDLOCK D.D.S. (PRESIDENT)
(561) 439-4620
Entity
Organization
Contact information
Practice address
2326 S CONGRESS AVE, WEST PALM BEACH, FL 33406-7617
(561) 439-4620
(561) 439-6704
Mailing address
2326 S CONGRESS AVE, WEST PALM BEACH, FL 33406-7617
(561) 439-4620
(561) 439-6704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 10346
FL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/01/2011
Last updated
03/14/2011
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