White Palm Dental PA

NPI #1245009687 in Melbourne, Florida

Provider Information

NPI Number: 1245009687
Entity Type: Organization
Organization Name: White Palm Dental PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2023
Last Updated: Dec 27, 2023

Practice Location

Address: 2305 VIDINA DR
Address 2: #103
City: Melbourne
State: Florida
ZIP Code: 32940-8066
Phone: (321) 473-6920

Authorized Official

Name: DR. LANCE SCOTT MCGAVIN, DDS
Title: OWNER
Phone: (321) 473-6920

Specialties & Taxonomy Codes

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

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