| Lux Dental | |
|
5050 W Atlantic Ave Delray Beach FL 33484-8129 | |
| (917) 533-7703 | |
| Not Available |
| Full Name | Lux Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 5050 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Yana Avenilov (DOCTOR) |
| Authorized Official Contact | 9175337703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lux Dental 5050 W Atlantic Ave Delray Beach FL 33484-8129 Ph: () - | Lux Dental 5050 W Atlantic Ave Delray Beach FL 33484-8129 Ph: (917) 533-7703 |
| NPI Number | 1013796986 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 11/26/2023 |
| Medicare PECOS PAC ID | 0244688471 |
|---|---|
| Medicare Enrollment ID | O20231129001699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013796986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Yana Berezina |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861989774 PECOS PAC ID: 3173860400 Enrollment ID: I20231129001763 |
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