Childrens Dentistry Of The Palm Beaches | |
3365 Burns Rd Ste 209 Palm Beach Gardens FL 33410-4308 | |
(561) 775-1011 | |
(561) 775-8283 |
Full Name | Childrens Dentistry Of The Palm Beaches |
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Speciality | Dentist - Pediatric Dentistry |
Location | 3365 Burns Rd Ste 209, Palm Beach Gardens, Florida |
Authorized Official Name and Position | Yuri Goldvasser (PRESIDENT) |
Authorized Official Contact | 5617751011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Childrens Dentistry Of The Palm Beaches 3365 Burns Rd Ste 209 Palm Beach Gardens FL 33410-4308 Ph: (561) 775-1011 | Childrens Dentistry Of The Palm Beaches 3365 Burns Rd Ste 209 Palm Beach Gardens FL 33410-4308 Ph: (561) 775-1011 |
NPI Number | 1205104809 |
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Provider Enumeration Date | 12/09/2011 |
Last Update Date | 12/09/2011 |
Identifier | Type | State | Issuer |
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1205104809 | NPI | - | NPPES |
076153200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DN16968 (Florida) | Primary |
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