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DR. JOSHUA CHUPP DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1689056889

Individual Registrant:
DR. JOSHUA  CHUPP DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1384 SW ST. LUCIE WEST BLVD  PORT ST. LUCIE, FL 34986 US
Tel: 772-249-0488  Fax: --

Contact information for business:
1384 SW ST. LUCIE WEST BLVD  PORT ST. LUCIE, FL 34986 US
Tel: 772-249-0488  Fax: --

Registration Information:
NPI: 1689056889
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN21315

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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