| Acde | |
|
12012 S Shore Blvd Suite 211 Wellington FL 33414-6203 | |
| (561) 721-9777 | |
| (561) 721-9778 |
| Full Name | Acde |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12012 S Shore Blvd, Wellington, Florida |
| Authorized Official Name and Position | Dmitry Gorbatov (OWNER) |
| Authorized Official Contact | 5617219777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acde 12012 S Shore Blvd Suite 211 Wellington FL 33414-6203 Ph: (561) 721-9777 | Acde 12012 S Shore Blvd Suite 211 Wellington FL 33414-6203 Ph: (561) 721-9777 |
| NPI Number | 1235433863 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235433863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15160 (Florida) | Primary |
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