| Gentle Breeze Dental | |
|
1761 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5479 | |
| (321) 474-1549 | |
| Not Available |
| Full Name | Gentle Breeze Dental |
|---|---|
| Speciality | Dentist |
| Location | 1761 Se Port St Lucie Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Kevin Trong Diep (DOCTOR) |
| Authorized Official Contact | 3214741549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gentle Breeze Dental 1761 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5479 Ph: (321) 474-1549 | Gentle Breeze Dental 1761 Se Port St Lucie Blvd Port Saint Lucie FL 34952-5479 Ph: (321) 474-1549 |
| NPI Number | 1952745408 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952745408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16316 (Florida) | Primary |
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