Organization
LUX DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANA AVENILOV (DOCTOR)
(917) 533-7703
Entity
Organization
Contact information
Practice address
5050 W ATLANTIC AVE, DELRAY BEACH, FL 33484-8129
(917) 533-7703
Mailing address
5050 W ATLANTIC AVE, DELRAY BEACH, FL 33484-8129
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
11/26/2023
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