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Organization
MELVYN E. NATHANSON, DDS, PA
Active
Organization
MELVYN E. NATHANSON, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVYN E NATHANSON DDS (PRESIDENT)
(561) 733-9662
Entity
Organization
Contact information
Practice address
11484 OHANU CIR, BOYNTON BEACH, FL 33437-7031
(561) 733-9662
Mailing address
11484 OHANU CIR, BOYNTON BEACH, FL 33437-7031
(561) 733-9662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
FL
Enumeration date
10/29/2006
Last updated
05/21/2020
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