Debary Dentistry LLC

NPI #1366078750 in Debary, Florida

Provider Information

NPI Number: 1366078750
Entity Type: Organization
Organization Name: Debary Dentistry LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 17, 2020
Last Updated: Mar 17, 2020

Practice Location

Address: 190 N CHARLES RICHARD BEALL BLVD STE 101
City: Debary
State: Florida
ZIP Code: 32713-2271
Phone: (386) 668-2003

Authorized Official

Name: PETER KELLY
Title: OWNER
Phone: (410) 303-1528

Specialties & Taxonomy Codes

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

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