Florida Dental Sleep Disorders, P.A.
Dentist in Boca Raton, FL. Organization (NPI-2).
NPI number1619707577
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1619707577
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Dental Sleep Disorders, P.A.
- Organization subpart
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
7100 Camino Real Ste 110Boca Raton, FL 33433-5510
Phone 561-400-7816
Mailing address
21861 Cypress Palm CtBoca Raton, FL 33428-2938
Phone 561-400-7816
Authorized official
Yitta Garden
Owner
5614007816
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