Individual
MARK A BOUKZAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4048 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442
(954) 429-8506
(954) 429-9480
Mailing address
4048 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442
(954) 429-8506
(954) 429-9480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10455
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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