L & L Beach Street, LLC
NPI #1003486671 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1003486671
- Entity Type
- Organization
- Organization Name
- L & L Beach Street, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 28, 2021
- Last Updated
- Jun 28, 2021
Practice Location
- Address
- 208 SOUTH BEACH STREET
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114
- Phone
- (386) 253-3413
Authorized Official
- Name
- EUGENE JOSEPH LECOMPTE, D.D.S
- Title
- ORTHODONTIST
- Phone
- (386) 253-3413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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