PALM BEACH MALL DENTAL PA NPI 1841492634

NPI Information

PALM BEACH MALL DENTAL, PA is a general practice dentist in West Palm Beach, 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. PALM BEACH MALL DENTAL, PA NPI is 1841492634. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1801 PALM BEACH LAKES BLVD
WEST PALM BEACH, FL
ZIP 33401-020
Phone: (561) 683-6247
Fax: (561) 683-6248

The provider's authorized official is Rostislav Krasnov .
The authorized official title is Owner and has the following contact phone number (561) 683-6247.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 12/3/2018.

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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