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Organization
PURE DENTAL CARE,P.A.
Active
Organization
PURE DENTAL CARE,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAGNABALA K PATEL BDS (PRESIDENT)
(561) 306-2626
Entity
Organization
Contact information
Practice address
2326 SOUTH CONGRESS AVENUE, WEST PALM BEACH, FL 33406
(561) 439-4620
Mailing address
104 WINSDOR COURT, ATLANTIS, FL 33462
(561) 306-2646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011665
FL
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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