Organization
BOCA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD GOODMAN DDS (DENTIST)
(561) 394-6200
Entity
Organization
Contact information
Practice address
2200 N DIXIE HWY, BOCA RATON, FL 33431-8003
(561) 394-6200
(561) 394-6099
Mailing address
2200 N DIXIE HWY, BOCA RATON, FL 33431-8003
(561) 394-6200
(561) 394-6099
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680697096
—
FL
Enumeration date
12/30/2019
Last updated
12/30/2019
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