| Quantum Dental | |
|
1034 Gateway Blvd Ste 101 Boynton Beach FL 33426-8360 | |
| (561) 249-2585 | |
| (561) 318-8040 |
| Full Name | Quantum Dental |
|---|---|
| Speciality | Dentist |
| Location | 1034 Gateway Blvd Ste 101, Boynton Beach, Florida |
| Authorized Official Name and Position | Tim Deyab (OWNER) |
| Authorized Official Contact | 5612492585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantum Dental 1034 Gateway Blvd Ste 101 Boynton Beach FL 33426-8360 Ph: (561) 249-2585 | Quantum Dental 1034 Gateway Blvd Ste 101 Boynton Beach FL 33426-8360 Ph: (561) 249-2585 |
| NPI Number | 1780376426 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780376426 | NPI | - | NPPES |
| 1124119474 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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