Organization
BONITA PALM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIMUS ZAND DMD (DENTIST)
(239) 810-0821
Entity
Organization
Contact information
Practice address
9776 BONITA BEACH RD SE STE 202A, BONITA SPRINGS, FL 34135-4775
(239) 221-7079
Mailing address
9776 BONITA BEACH RD SE STE 202A, BONITA SPRINGS, FL 34135-4775
(239) 221-7079
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026911
—
FL
Enumeration date
07/21/2021
Last updated
07/21/2021
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