Idental of Boca Raton, Pllc

NPI #1104397009 in Boca Raton, Florida

Provider Information

NPI Number
1104397009
Entity Type
Organization
Organization Name
Idental of Boca Raton, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 17, 2018
Last Updated
Dec 17, 2018

Practice Location

Address
7491 N FEDERAL HWY
State
Florida
ZIP Code
33487-1625
Phone
(561) 241-7894

Authorized Official

Name
DR. JOSE ALBERTO, DDS
Title
OWNER
Phone
(561) 241-7894

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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