| Economy Dentures Of So Daytona | |
|
2400 S Ridgewood Ave Ste 10b South Daytona FL 32119-5005 | |
| (386) 761-9681 | |
| (386) 761-9107 |
| Full Name | Economy Dentures Of So Daytona |
|---|---|
| Speciality | Dentist |
| Location | 2400 S Ridgewood Ave Ste 10b, South Daytona, Florida |
| Authorized Official Name and Position | Leroy R. Polite (D.M.D) |
| Authorized Official Contact | 3867619681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Economy Dentures Of So Daytona 2400 South Ridgewood Ave #10b South Daytona FL 32119-3097 Ph: (386) 761-9681 | Economy Dentures Of So Daytona 2400 S Ridgewood Ave Ste 10b South Daytona FL 32119-5005 Ph: (386) 761-9681 |
| NPI Number | 1578732962 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578732962 | NPI | - | NPPES |
| 076873100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10854 (Florida) | Primary |
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