Organization
SHORELINE DENTAL STUDIO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY DUBOIS DDS (OWNER/MEMBER)
(760) 528-0275
Entity
Organization
Contact information
Practice address
34 WALTER MARTIN RD NE, FORT WALTON BEACH, FL 32548-4960
(760) 528-0275
Mailing address
4 OKAHATCHEE CIR SE, FORT WALTON BEACH, FL 32548-5711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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