Organization
DENTISTS OF BOCA VILLAGE, PA
Active
Other names
Dentists of Boca Village
Organization subpart
No
Provider details
NPI number
Authorized official
MINH B PHAM DDS (OWNER)
(561) 571-7108
Entity
Organization
Contact information
Practice address
21200 SAINT ANDREWS BLVD, BOCA RATON, FL 33433-2403
(561) 571-7108
(561) 584-8162
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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