Cdpg, P.l.

NPI #1568123321 in Melbourne, Florida

Provider Information

NPI Number: 1568123321
Entity Type: Organization
Organization Name: Cdpg, P.l.
Subpart: Yes (part of a larger organization)
Parent Organization: CDPG, P.L.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 4, 2022
Last Updated: Jan 4, 2022

Practice Location

Address: 1390 S BABCOCK ST
City: Melbourne
State: Florida
ZIP Code: 32901-3009
Phone: (321) 728-4546

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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