BOULEVARD CENTER FOR ADVANCED DENTISTRY

PORT ST LUCIE, FL
NPI1275906232
Entity TypeOrganization
Authorized ContactJEROME VITALE
Dentist/Owner
772-337-1111
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: FL  dn13975)
Enumeration Date2015-11-12
Last Update Date2015-11-12
Business Address
BOULEVARD CENTER FOR ADVANCED DENTISTRY
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5366
Phone number: 772-337-1111
Mailing Address
BOULEVARD CENTER FOR ADVANCED DENTISTRY
1343 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5366
Phone number: