Organization
BOYNTON ORAL SURGERY AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(941) 955-3150
Entity
Organization
Contact information
Practice address
3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL 33436-4516
(561) 364-1800
Mailing address
3695 W BOYNTON BEACH BLVD STE 1, BOYNTON BEACH, FL 33436-4516
(561) 364-1800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
01/29/2020
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