IDENTAL OF BOCA RATON PLLC NPI 1104397009

NPI Information

IDENTAL OF BOCA RATON, PLLC 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. IDENTAL OF BOCA RATON, PLLC NPI is 1104397009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7491 N FEDERAL HWY
BOCA RATON, FL
ZIP 33487-625
Phone: (561) 241-7894

The provider's authorized official is Jose Alberto .
The authorized official title is Owner and has the following contact phone number (561) 241-7894.

The enumeration date for this NPI number is 12/17/2018 and was last updated on 12/17/2018.

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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