Organization
PEDIATRIC & GENERAL DENTISTRY OF PALM BEACH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIEM SOCARRAS DIAZ DMD (PEDIATRIC DENTIST)
(561) 508-5930
Entity
Organization
Contact information
Practice address
1620 S CONGRESS AVE STE 102, PALM SPRINGS, FL 33461-2128
(617) 770-0955
Mailing address
1620 S CONGRESS AVE STE 102, PALM SPRINGS, FL 33461-2128
(561) 777-0095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/16/2019
Last updated
07/17/2020
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