DENTAL STORE INC NPI 1063552727

NPI Information

DENTAL STORE INC is a general practice dentist in Boca Raton, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL STORE INC NPI is 1063552727. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East Boca Dental.

The provider's business location address is:

2151 NW 2ND AVE
SUITE 102
BOCA RATON, FL
ZIP 33431
Phone: (561) 395-1486
Fax: (561) 395-1525

The provider's authorized official is George Soropoulos .
The authorized official title is President/general Dentist and has the following contact phone number (561) 395-1486.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 5/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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