AEGEAN DENTAL OF PORT ST LUCIE, LLC

PORT ST LUCIE, FL
NPI1619372760
Entity TypeOrganization
Authorized ContactGEORGE SOROPOULOS
Manager
561-395-1486
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN15874)
Enumeration Date2014-10-31
Last Update Date2014-10-31
Business Address
AEGEAN DENTAL OF PORT ST LUCIE, LLC
308 NW BETHANY DR
PORT ST LUCIE, FL 34986-3578
Phone number: 772-344-4356
Mailing Address
AEGEAN DENTAL OF PORT ST LUCIE, LLC
2151 NW 2ND AVE 101
BOCA RATON, FL 33431-6771
Phone number: 561-395-1486