Christie Dental Practice Group

NPI #1720257504 in Melbourne, Florida

Provider Information

NPI Number: 1720257504
Entity Type: Organization
Organization Name: Christie Dental Practice Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 26, 2008
Last Updated: Feb 26, 2008

Practice Location

Address: 1674 W HIBISCUS BLVD
City: Melbourne
State: Florida
ZIP Code: 32901-2631
Phone: (321) 729-0004

Authorized Official

Name: MR. TIM CHRISTIE
Title: CFO
Phone: (321) 729-0004

Specialties & Taxonomy Codes

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

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