Individual
AVRAHAM AMSALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D
Contact information
Practice address
21200 SAINT ANDREWS BLVD STE 15, BOCA RATON, FL 33433-2403
(561) 571-7108
Mailing address
7881 SAN MARCOS PL, BOCA RATON, FL 33433-4125
(561) 685-0909
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN21695
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
11/12/2024
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