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1336849025
NEW ROOTS DENTISTRY LLC
ORMOND BEACH, FL
NPI
1336849025
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Entity Type
Organization
Authorized Contact
YESELL CANDELARIO-BENITEZ
Owner
786-307-8655
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-03-09
Last Update Date
2023-03-09
Business Address
NEW ROOTS DENTISTRY LLC
198 S NOVA RD
ORMOND BEACH, FL 32174-6115
Phone number: 786-307-8655
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Mailing Address
NEW ROOTS DENTISTRY LLC
198 S NOVA RD
ORMOND BEACH, FL 32174-6115
Phone number: 786-307-8655
Copy
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