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Organization
NORTHSTAR DENTAL, INC.
Active
Organization
NORTHSTAR DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH JIMENEZ (OWNER)
(561) 721-9992
Entity
Organization
Contact information
Practice address
1225 N MILITARY TRL, WEST PALM BEACH, FL 33409-6059
(561) 721-9992
(561) 686-8948
Mailing address
1225 N MILITARY TRL, WEST PALM BEACH, FL 33409-6059
(561) 721-9992
(561) 686-8948
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9275
FL
Other
Enumeration date
03/30/2007
Last updated
08/11/2008
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