| Periodontics & Implant Dentistry Of Boca Fl Pa | |
|
15300 S Jog Rd Ste 201 Delray Beach FL 33446-2166 | |
| (561) 499-7400 | |
| Not Available |
| Full Name | Periodontics & Implant Dentistry Of Boca Fl Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 15300 S Jog Rd Ste 201, Delray Beach, Florida |
| Authorized Official Name and Position | Myles Mcallister (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7274034870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics & Implant Dentistry Of Boca Fl Pa 50 Ford Way Richmond Hill GA 31324-4438 Ph: (912) 225-5054 | Periodontics & Implant Dentistry Of Boca Fl Pa 15300 S Jog Rd Ste 201 Delray Beach FL 33446-2166 Ph: (561) 499-7400 |
| NPI Number | 1184319477 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184319477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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