Seacrest Dental II LLC
NPI #1538591706 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1538591706
- Entity Type
- Organization
- Organization Name
- Seacrest Dental II LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2013
- Last Updated
- May 21, 2014
Practice Location
- Address
- 66 N HOLIDAY RD
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-6936
- Phone
- (850) 231-3736
Authorized Official
- Name
- DR. FRED EDWIN RUDER, DDS
- Title
- CO-OWNER
- Phone
- (850) 231-3736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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