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DR. JUSTIN DEVACK DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1346411428

Individual Registrant:
DR. JUSTIN  DEVACK DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
250 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3027 US
Tel: 954-922-1947  Fax: 954-920-2042

Contact information for business:
250 E DANIA BEACH BLVD  DANIA BEACH, FL 33004-3027 US
Tel: 954-922-1947  Fax: 954-920-2042

Registration Information:
NPI: 1346411428
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN18210

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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