Department of Veterans Affairs

NPI #1376736967 in Melbourne, Florida

Provider Information

NPI Number
1376736967
Entity Type
Organization
Organization Name
Department of Veterans Affairs
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Aug 27, 2007
Last Updated
Aug 27, 2007

Practice Location

Address
2900 VETERANS WAY
State
Florida
ZIP Code
32940-8007
Phone
(321) 637-3646

Authorized Official

Name
LISA GORMAN
Title
LEAD DENTIST
Phone
(321) 637-3646

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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