| Ormond Beach Dental Care LLC | |
|
1275 W Granada Blvd Ste 1 Ormond Beach FL 32174-8105 | |
| (850) 228-7195 | |
| Not Available |
| Full Name | Ormond Beach Dental Care LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1275 W Granada Blvd Ste 1, Ormond Beach, Florida |
| Authorized Official Name and Position | Nery Ruano (DENTIST) |
| Authorized Official Contact | 8502287195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ormond Beach Dental Care LLC 1354 N Wembley Cir Port Orange FL 32128-3770 | Ormond Beach Dental Care LLC 1275 W Granada Blvd Ste 1 Ormond Beach FL 32174-8105 Ph: (850) 228-7195 |
| NPI Number | 1578402673 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578402673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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