Organization
CHRISTIE DENTAL PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM CHRISTIE (CFO)
(321) 729-0004
Entity
Organization
Contact information
Practice address
1674 W HIBISCUS BLVD, MELBOURNE, FL 32901-2631
(321) 729-0004
(321) 729-0046
Mailing address
1674 W HIBISCUS BLVD, MELBOURNE, FL 32901-2631
(321) 729-0004
(321) 729-0046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14545
FL
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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