Organization
AFFORDABLE DENTURES - WEST MELBOURNE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY LUONG DDS (PRACTICE OWNER)
(321) 725-6570
Entity
Organization
Contact information
Practice address
1529 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3927
(321) 725-6570
(321) 725-6599
Mailing address
1529 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3927
(321) 725-6570
(321) 725-6599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15694
FL
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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