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1720004278
QUINTON LEE HEDGEPETH
PORT ST LUCIE, FL
NPI
1720004278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 8096)
Enumeration Date
2006-07-15
Last Update Date
2009-08-27
Business Address
Dr. QUINTON LEE HEDGEPETH DDS
1100 SW SAINT LUCIE WEST BLVD SUITE 206
PORT ST LUCIE, FL 34986-1780
Phone number: 772-607-1223
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Mailing Address
Dr. QUINTON LEE HEDGEPETH DDS
1100 SW SAINT LUCIE WEST BLVD SUITE 206
PORT ST LUCIE, FL 34986-1780
Phone number: 772-607-1223
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