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DR. ERIC R. DEPETRIS D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1528118841

Individual Registrant:
DR. ERIC R. DEPETRIS D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
2550 COUNTY ROAD 220 SUITE ONE MIDDLEBURG, FL 32068-6532 US
Tel: 904-272-6600  Fax: 904-276-0550

Contact information for business:
2550 COUNTY ROAD 220 SUITE ONE MIDDLEBURG, FL 32068-6532 US
Tel: 904-272-6600  Fax: 904-276-0550

Registration Information:
NPI: 1528118841
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN15960

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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