Organization
PALM TREE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WITULSKI DDS (OWNER)
(772) 778-5773
Entity
Organization
Contact information
Practice address
6200 20TH ST STE 292, VERO BEACH, FL 32966-1079
(772) 778-5773
(772) 778-6944
Mailing address
6200 20TH ST STE 292, VERO BEACH, FL 32966-1079
(772) 778-5773
(772) 778-6944
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN0013338
FL
Other
Enumeration date
01/13/2007
Last updated
08/22/2020
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