| NPI | 1588172571 |
|---|---|
| Doing Business As | BEACHES DENTISTRY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NODESH BANGALORE SHYAMSUNDER President 904-246-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: FL DN20907) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |