# PALM BEACH PROSTHODONTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477793933
- **Authorized official:** DR. MIGUEL J. SANTAMARINA DMD (VICE - PRESIDENT)
- **Authorized official phone:** (561) 682-0999

## Contact information

- **Practice address:** 1401 FORUM WAY, SUITE 800, WEST PALM BEACH, FL 33401
- **Practice address phone:** (561) 682-0999
- **Practice address fax:** (561) 383-0899
- **Mailing address:** 1401 FORUM WAY, SUITE 800, WEST PALM BEACH, FL 33401
- **Mailing address phone:** (561) 682-0999
- **Mailing address fax:** (561) 383-0899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | FL | — |
| 1223P0700X | Prosthodontics | — | FL | Yes |

## Other

- **Enumeration date:** 02/24/2009
- **Last updated:** 02/24/2009