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Organization

RAYMOND A. DELLA PORTA, II DMD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND ANTHONY DELLA PORTA II D.M.D (DENTIST)
(772) 567-1025
Entity
Organization

Contact information

Practice address
1300 36TH ST, SUITE F, VERO BEACH, FL 32960-4898
(772) 567-1025
Mailing address
1300 36TH ST, SUITE F, VERO BEACH, FL 32960-4898
(772) 567-1025

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/01/2012
Last updated
06/01/2012
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