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Organization
PALM BEACH MALL DENTAL GROUP,PL
Active
Organization
PALM BEACH MALL DENTAL GROUP,PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA LORETTA NIELSEN D.D.S (OWNER)
(561) 683-6247
Entity
Organization
Contact information
Practice address
1801 PALM BEACH LAKES BLVD, #852, WEST PALM BEACH, FL 33401-2020
(561) 683-6247
(561) 683-6248
Mailing address
1801 PALM BEACH LAKES BLVD, #852, WEST PALM BEACH, FL 33401-2020
(561) 683-6247
(561) 683-6248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013591
FL
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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