Santa Rosa Bch Dental

NPI #1023289568 in Santa Rosa Bch, Florida

Provider Information

NPI Number: 1023289568
Entity Type: Organization
Organization Name: Santa Rosa Bch Dental
Primary Specialty: Dentist
Enumeration Date: Mar 12, 2008
Last Updated: Mar 12, 2008

Practice Location

Address: 4942 HWY 98 W #19
City: Santa Rosa Bch
State: Florida
ZIP Code: 32459
Phone: (850) 267-0777

Authorized Official

Name: DR. AMBER E WIEHE, DMD
Title: DENTIST OWNER
Phone: (850) 267-0777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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