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:
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Health care specialties

SpecialtyCodeLicense #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 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063439610 NPPES
Florida Other DN 16247 STATE DENTAL LICENSE

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