Organization
PERIODONTICS & IMPLANT DENTISTRY OF BOCA FL PA
Active
Other names
Ressler Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MYLES MCALLISTER (CHIEF OPERATING OFFICER)
(727) 403-4870
Entity
Organization
Contact information
Practice address
15300 S JOG RD STE 201, DELRAY BEACH, FL 33446-2166
(561) 499-7400
Mailing address
50 FORD WAY, RICHMOND HILL, GA 31324-4438
(912) 225-5054
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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