| Palm Beach Mall Dental Group | |
|
1801 Palm Beach Lakes Blvd Ste 852 West Palm Beach FL 33401-2003 | |
| (561) 683-6247 | |
| (561) 683-6248 |
| Full Name | Palm Beach Mall Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 Palm Beach Lakes Blvd Ste 852, West Palm Beach, Florida |
| Authorized Official Name and Position | Pamela Nielsen (DENTIST) |
| Authorized Official Contact | 5616836247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Mall Dental Group 1801 Palm Beach Lakes Blvd Ste 852 West Palm Beach FL 33401-2003 Ph: (561) 683-6247 | Palm Beach Mall Dental Group 1801 Palm Beach Lakes Blvd Ste 852 West Palm Beach FL 33401-2003 Ph: (561) 683-6247 |
| NPI Number | 1174644686 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174644686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13591 (Florida) | Primary |
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