BEACH DENTAL GROUP INC
Dentist at Dormer Dr, Ormond Beach, FL

License number
Florida DN15016
Category
Dentist
Type
Dentist
Owner
Name: DR. FREDERICK A FOX DENTIS
Title: PRES
Phone: (386) 428-6491
Address
Address 2
34 Dormer Dr, Ormond Beach, FL 32174
809 State Road 44, New Smyrna, FL 32168
National Provider ID: 1740560739
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BEACH DENTAL GROUP INC

Ormond Beach, FL  -  New Smyrna, FL  -  Tallahassee, FL

Industry:
Dentist's Office, Nonclassifiable Establishments
Registration:
Oct 22, 2008
Addresses:
334 Riv Blf Dr, Ormond Beach, FL 32174 (Physical)
751 E 3 Ave, New Smyrna, FL 32169
PO Box 6327, Tallahassee, FL 32314
34 Dormer Dr, Ormond Beach, FL 32174
State ID:
P08000095338
Business type:
Florida Profit Corporation
President:
Frederick Fox (President), 334 Riv Blf Dr, Ormond Beach, FL 32174 (Physical)
Agent:
Fox, Frederick,334 Riv Blf Dr, Ormond Beach, FL 32174 (Physical)
EIN:
263580907

Dentist licenses in Florida