Organization
ORMOND FAMILY DENTAL, PLLC
Active
Other names
Ormond Family Dental, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES BENCHIMOL DMD (OWNER)
(954) 397-1452
Entity
Organization
Contact information
Practice address
1200 W GRANADA BLVD STE 2, ORMOND BEACH, FL 32174-8157
(386) 275-1792
(386) 265-0576
Mailing address
8495 TWIN LAKE DR, BOCA RATON, FL 33496-1923
(954) 397-1452
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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