Organization
ATLANTIC COAST PROSTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WHITSITT D.D.S. (OWNER)
(386) 239-7600
Entity
Organization
Contact information
Practice address
1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
(386) 239-7600
Mailing address
1509 MASON AVE, DAYTONA BEACH, FL 32117-4548
(386) 239-7600
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN 10669
FL
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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