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Organization
TOWNCARE DENTAL OF BOCA RATON PLLC
Active
Organization
TOWNCARE DENTAL OF BOCA RATON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE GOMEZ (CREDENTIALING COORDINATOR)
(305) 274-2499
Entity
Organization
Contact information
Practice address
3401 N FEDERAL HWY STE 101, BOCA RATON, FL 33431-6005
(561) 750-6790
Mailing address
13195 SW 134TH ST, MIAMI, FL 33186-4461
(305) 274-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/05/2016
Last updated
05/24/2016
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