Cdpg, P.l.

NPI #1164183893 in Melbourne, Florida

Provider Information

NPI Number: 1164183893
Entity Type: Organization
Organization Name: Cdpg, P.l.
Subpart: Yes (part of a larger organization)
Parent Organization: CDPG, P.L.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 5, 2022
Last Updated: Jan 5, 2022

Practice Location

Address: 6300 N WICKHAM RD STE 121
City: Melbourne
State: Florida
ZIP Code: 32940-2023
Phone: (321) 259-5257

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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