Organization · Type 2 NPI
Daxon & Grundset PLLC
Dental Clinic/Center · St. Petersburg, FL
NPI number
1639599962
Active
Practice location
111 2nd Ave NE Ste 1104
St. Petersburg, FL 33701-3443
Fax (727) 608-1980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN 04596 (FL) |
Dental Clinic/Center: Definition to come...
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About NPI 1639599962
Daxon & Grundset PLLC's National Provider Identifier is 1639599962, issued on Apr 25, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 25, 2014.