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Organization
BOYNTON ORAL SURGERY AND IMPLANT CENTER PLLC
Active
Organization
BOYNTON ORAL SURGERY AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL 33436-4516
(561) 364-1800
Mailing address
3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL 33436-4516
(561) 364-1800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
01/29/2020
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