South Pearl Dental, INC

NPI #1396377172 in Boca Raton, Florida

Provider Information

NPI Number: 1396377172
Entity Type: Organization
Organization Name: South Pearl Dental, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 10, 2020
Last Updated: Feb 10, 2020

Practice Location

Address: 8903 GLADES RD STE A7
City: Boca Raton
State: Florida
ZIP Code: 33434-4023
Phone: (352) 727-8547

Authorized Official

Name: DR. MARIANGEL FERNANDEZ-MARTINEZ, DMD
Title: PRESIDENT/OWNER
Phone: (352) 727-8547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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