Boulevard Center for Advanced Dentistry
Boulevard Center for Advanced Dentistry is a Dental Clinic/Center in Port St Lucie, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
Practice location Address checks out
1343 SE Port St Lucie BlvdPort St Lucie, FL 34952-5366
Phone: (772) 337-1111
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence DN13975 (FL) |
|---|
Record details
| NPI number | 1275906232 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerome Vitale — Dentist/Owner · (772) 337-1111 |
| NPI enumerated | November 12, 2015 |
| Last updated in NPPES | November 12, 2015 |
| Mailing address | 1343 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5366 |
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