| NPI | 1174493969 |
|---|---|
| Doing Business As | CYPRESS DENTAL OF ORMOND BEACH |
| Entity Type | Organization |
| Authorized Contact | EDWARD LEE STAUDT Manager 386-756-8953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |