Organization
GENTLE BREEZE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN TRONG DIEP DMD (DOCTOR)
(321) 474-1549
Entity
Organization
Contact information
Practice address
1761 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5479
(321) 474-1549
Mailing address
1761 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5479
(321) 474-1549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16316
FL
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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