| Mogell Dental Associates | |
|
2900 N Military Trl Ste 212 Boca Raton FL 33431-6365 | |
| (561) 394-9000 | |
| (561) 488-1102 |
| Full Name | Mogell Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 2900 N Military Trl, Boca Raton, Florida |
| Authorized Official Name and Position | Kenneth A Mogell (PRESIDENT) |
| Authorized Official Contact | 5613949000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mogell Dental Associates 2900 N Military Trl Ste 212 Boca Raton FL 33431-6365 Ph: (561) 394-9000 | Mogell Dental Associates 2900 N Military Trl Ste 212 Boca Raton FL 33431-6365 Ph: (561) 394-9000 |
| NPI Number | 1265879670 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265879670 | NPI | - | NPPES |
| 12472337 | Other | FL | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10118 (Florida) | Primary |
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