Organization
LASER & COSMETIC DENTISTRY OF DELRAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN POULERIGUEN DMD (VICE PRESIDENT)
(561) 499-6664
Entity
Organization
Contact information
Practice address
15300 JOG RD, SUITE 210, DELRAY BEACH, FL 33446-2162
(561) 499-6664
Mailing address
15300 JOG RD, SUITE 210, DELRAY BEACH, FL 33446-2162
(561) 499-6664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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