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Organization
NICHOLAS G. KALEEL DMD PA
Active
Organization
NICHOLAS G. KALEEL DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS GEORGE KALEEL DMD (PRESIDENT)
(561) 736-9997
Entity
Organization
Contact information
Practice address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 736-9997
(561) 736-3800
Mailing address
555 N CONGRESS AVE, SUITE 303, BOYNTON BEACH, FL 33426-3469
(561) 736-9997
(561) 736-3800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9870
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530204
UNITED CONCORDIA
FL
01
—
53149-1
UNITED HEALTHCARE
FL
01
—
77499
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/19/2006
Last updated
08/22/2020
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