Organization
JOHN GIANATASIO III DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GIANATASIO III DMD (PRESIDENT)
(561) 482-6446
Entity
Organization
Contact information
Practice address
11485-I W PALMETTO PARK RD, BOCA RATON, FL 33428
(561) 482-6446
(561) 852-8743
Mailing address
11485-I W PALMETTO PARK RD, BOCA RATON, FL 33428
(561) 482-6446
(561) 852-8743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9852
FL
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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