| Polo Dental Of West Palm Beach | |
|
4700 N Congress Ave #302 West Palm Beach FL 33407 | |
| (561) 666-9691 | |
| (561) 948-2081 |
| Full Name | Polo Dental Of West Palm Beach |
|---|---|
| Speciality | Dentist |
| Location | 4700 N Congress Ave #302, West Palm Beach, Florida |
| Authorized Official Name and Position | Marianna Zadov (OWNER) |
| Authorized Official Contact | 5616669691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polo Dental Of West Palm Beach 4700 N Congress Ave #302 West Palm Beach FL 33407 Ph: (561) 666-9691 | Polo Dental Of West Palm Beach 4700 N Congress Ave #302 West Palm Beach FL 33407 Ph: (561) 666-9691 |
| NPI Number | 1194184101 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194184101 | NPI | - | NPPES |
| 000800101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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