Organization
FAMILY DENTISTRY OF LAKE WORTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA STEIN DMD (PRESIDENT)
(305) 915-0567
Entity
Organization
Contact information
Practice address
6427 LAKE WORTH RD, GREENACRES, FL 33463-2900
(561) 649-6446
Mailing address
11897 PRESERVATION LN, BOCA RATON, FL 33498-6231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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