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Organization

IDENTAL OF BOCA RATON, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE ALBERTO DDS (OWNER)
(561) 241-7894
Entity
Organization

Contact information

Practice address
7491 N FEDERAL HWY, BOCA RATON, FL 33487-1625
(561) 241-7894
Mailing address
7491 N FEDERAL HWY, BOCA RATON, FL 33487-1625
(561) 241-7894

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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