Destin Dental Group

NPI #1275036642 in Panama City Beach, Florida

Provider Information

NPI Number: 1275036642
Entity Type: Organization
Organization Name: Destin Dental Group
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 10510 HUTCHISON BLVD
City: Panama City Beach
State: Florida
ZIP Code: 32407-3836
Phone: (850) 234-7080

Authorized Official

Name: DR. BENJAMIN GROOTERS
Title: DENTIST/OWNER
Phone: (850) 234-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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