Organization
HONEST PRACTICES WEST DELRAY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KOGAN DMD, MD (CHIEF CLINICAL OFFICER)
(201) 406-6596
Entity
Organization
Contact information
Practice address
8778 W. ATLANTIC AVE, DELRAY BEACH, FL 33446
(561) 206-2025
Mailing address
8278 BANPO BRIDGE WAY, DELRAY BEACH, FL 33446-0031
(201) 406-6596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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