Individual
THIBAULT DE VERNEJOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4570 LYONS RD STE 102, COCONUT CREEK, FL 33073-3483
(954) 324-4764
Mailing address
2807 NE 26TH AVE, FORT LAUDERDALE, FL 33306-1737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN25201
FL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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