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Organization
CHILDREN'S DENTAL PLACE OF EAST BOCA,INC
Active
Organization
CHILDREN'S DENTAL PLACE OF EAST BOCA,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH HERMAN (DENTIST)
(954) 849-4143
Entity
Organization
Contact information
Practice address
509 NE 20TH ST, BOCA RATON, FL 33431-8141
(954) 849-4143
Mailing address
509 NE 20TH ST, BOCA RATON, FL 33431-8141
(954) 849-4143
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN13586
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075515000
—
FL
Enumeration date
05/02/2012
Last updated
05/02/2012
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