Organization
DENTAL STORE INC
Active
Other names
East Boca Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SOROPOULOS DDS (PRESIDENT/GENERAL DENTIST)
(561) 395-1486
Entity
Organization
Contact information
Practice address
2151 NW 2ND AVE, SUITE 102, BOCA RATON, FL 33431
(561) 395-1486
(561) 395-1525
Mailing address
2151 NW 2ND AVE, SUITE 102, BOCA RATON, FL 33431
(561) 395-1486
(561) 395-1525
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN6099
FL
1223G0001X
General Practice Dentistry
Primary
DN15874
FL
1223G0001X
General Practice Dentistry
DN8030
FL
1223P0300X
Periodontics
DN16973
FL
1223P0300X
Periodontics
DN17801
FL
Other
Enumeration date
02/08/2007
Last updated
05/27/2009
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