KEVIN V DIEP
Dentist at Grand Reserve Blvd, Fort Pierce, FL

License number
Florida 16316
Issued Date
Jul 9, 2003
Effective Date
Jul 9, 2003
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental
Address
Address
889 SW Grand Reserve Blvd, Fort Pierce, FL 34986
Phone
(321) 474-4154
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Organization information

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Kevin V Diep, DMD, PA

Fort Pierce, FL  -  Melbourne, FL  -  West Palm Beach, FL

Industry:
Dentist's Office
Registration:
Apr 25, 2013
Addresses:
889 SW Grand Reserve Blvd, Fort Pierce, FL 34986
6244 Trieda Dr, Melbourne, FL 32940
6642 Aliso Ave, West Palm Beach, FL 33413
1761 SE Prt St Lucie Blvd, Fort Pierce, FL 34952
State ID:
P13000037175
Business type:
Domestic for Profit Corporation
President:
Kevin V. Diep (President)

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