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1740560739
BEACH DENTAL GROUP INC
ORMOND BEACH, FL
NPI
1740560739
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Entity Type
Organization
Authorized Contact
FREDERICK A FOX
Pres
386-428-6491
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL dn15016)
Enumeration Date
2011-08-22
Last Update Date
2011-08-22
Business Address
BEACH DENTAL GROUP INC
34 DORMER DR
ORMOND BEACH, FL 32174-1051
Phone number: 386-428-6491
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Mailing Address
BEACH DENTAL GROUP INC
809 STATE ROAD 44
NEW SMYRNA BEACH, FL 32168-7271
Phone number: 386-428-6491
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