| David J. Krynauw, Dds, Pa | |
|
1761 Se Port St Lucie Blvd Port St Lucie FL 34952-5479 | |
| (772) 335-0993 | |
| (772) 335-8192 |
| Full Name | David J. Krynauw, Dds, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1761 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | David J Krynauw (OWNER) |
| Authorized Official Contact | 7723350993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Krynauw, Dds, Pa 1761 Se Port St Lucie Blvd Port St Lucie FL 34952-5479 Ph: (772) 335-0993 | David J. Krynauw, Dds, Pa 1761 Se Port St Lucie Blvd Port St Lucie FL 34952-5479 Ph: (772) 335-0993 |
| NPI Number | 1699032490 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699032490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13287 (Florida) | Primary |
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