Organization · Type 2 NPI
Shoreline Dental Studio PLLC
Dental Clinic/Center · Fort Walton Beach, FL
NPI number
1750049417
Active
Practice location
34 Walter Martin Rd NE
Fort Walton Beach, FL 32548-4960
Mailing address
4 Okahatchee Cir SE
Fort Walton Beach, FL 32548-5711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Fort Walton Beach
About NPI 1750049417
Shoreline Dental Studio PLLC's National Provider Identifier is 1750049417, issued on Nov 30, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Nov 30, 2021.