Grande, Edgardo Arturo
Grande, Edgardo Arturo is an individual health care provider with primary practice located at 340 Royal Poinciana Way Suite 309, Palm Beach FL 33480-4048. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grande, Edgardo Arturo can be contacted via phone (561) 832-6647.Contact Information
Primary practice address
340 Royal Poinciana Way Suite 309
Palm Beach FL 33480-4048
Phone: (561) 832-6647
Fax: (561) 832-6828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 16247 | Florida |
Profile Details
| NPI number | 1063439610 |
|---|---|
| LBN Legal business name | Grande, Edgardo Arturo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063439610 | NPPES |
| Florida | Other | DN 16247 | STATE DENTAL LICENSE |
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