Organization
SOUTHEASTERN DENTAL ASSOCIATES I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D RUBINSTEIN DMD (CO OWNER)
(561) 738-9007
Entity
Organization
Contact information
Practice address
200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436
(561) 738-9007
(561) 738-9963
Mailing address
200 KNUTH ROAD, SUITE 106, BOYNTON BEACH, FL 33436
(561) 738-9007
(561) 738-9963
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN14485
FL
1223P0300X
Periodontics
Primary
DN15761
FL
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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