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Organization
PALM BEACH GARDENS DENTAL ASSOCIATES
Active
Organization
PALM BEACH GARDENS DENTAL ASSOCIATES
Active
Other names
Ray A. Maiwurm DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSAN BENNETT (OFFICE MGR)
(561) 626-3424
Entity
Organization
Contact information
Practice address
4362 NORTHLAKE BLVD, STE 114 BLDG 2, PALM BEACH GARDENS, FL 33410-6275
(561) 626-3424
Mailing address
8106 DAMASCUS DR, PALM BEACH GARDENS, FL 33418-6006
(561) 622-9290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN6220
FL
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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