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Yamato Family Dental

Dentist, General Practice in Boca Raton, FL. Organization (NPI-2).

NPI number1447502000
StatusActive
Last updated in NPPESOct 7, 2012

Details

NPI
1447502000
Entity type
Organization (NPI-2)
Legal business name
Yamato Family Dental
Organization subpart
No
Enumeration date
Oct 7, 2012
Last updated
Oct 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN18905FLYes

Practice location

222 Yamato Rd
Suite 109
Boca Raton, FL 33431-4704

Phone 518-727-6429

Mailing address

222 Yamato Rd
Suite 109
Boca Raton, FL 33431-4704

Phone 518-727-6429

Authorized official

Pavel A Krykhtin
Dentist
5187276429

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