PALM COAST DENTAL, LLC

PALM COAST, FL
NPI1356585566
Entity TypeOrganization
Authorized ContactTHAI THANH NONG
Dentist/Owner
386-237-5917
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN17327)
Enumeration Date2009-05-01
Last Update Date2009-05-01
Business Address
PALM COAST DENTAL, LLC
5234 E. HIGHWAY 100 SUITE 103
PALM COAST, FL 32164
Phone number: 386-263-2936
Mailing Address
PALM COAST DENTAL, LLC
5234 E. HIGHWAY 100 SUITE 103
PALM COAST, FL 32164
Phone number: 386-263-2936