Organization
BOULEVARD DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK B MOSS DDS (OWNER)
(727) 393-6024
Entity
Organization
Contact information
Practice address
8475 SEMINOLE BLVD, SEMINOLE, FL 33772-4329
(727) 393-6025
(727) 397-5222
Mailing address
8475 SEMINOLE BLVD, SEMINOLE, FL 33772-4329
(727) 393-6025
(727) 397-5222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16886
FL
122300000X
Dentist
Primary
DN6079
FL
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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