Organization
BELLEAIR ORAL SURGERY AND IMPLANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH MARK EICHSTAEDT D.D.S. (PRESIDENT/ORAL SURGEON)
(727) 581-3300
Entity
Organization
Contact information
Practice address
100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
(727) 581-3300
(727) 581-3302
Mailing address
100 INDIAN ROCKS RD N, SUITE 12, BELLEAIR BLUFFS, FL 33770-1778
(727) 581-3300
(727) 581-3302
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN15139
FL
Other
Enumeration date
12/03/2010
Last updated
03/31/2014
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