Organization
BIG TOOTH BOCA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA JACQUELINE GALVEZ D.D.S. (MANAGING MEMBER)
(561) 482-8000
Entity
Organization
Contact information
Practice address
21301 POWERLINE RD, SUITE 208, BOCA RATON, FL 33433-2388
(561) 482-8000
(561) 488-2936
Mailing address
21301 POWERLINE RD, SUITE 208, BOCA RATON, FL 33433-2388
(561) 482-8000
(561) 488-2936
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16165
FL
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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