Organization
BOCA RATON CENTER FOR ORAL FACIAL & IMPLANT SURGERY, LLC
Active
Organization
BOCA RATON CENTER FOR ORAL FACIAL & IMPLANT SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA PICCONE (INSURANCE COORDINATOR)
(561) 826-2002
Entity
Organization
Contact information
Practice address
2499 GLADES RD, SUITE 309, BOCA RATON, FL 33431-7202
(561) 826-2002
(561) 826-2003
Mailing address
2499 GLADES RD, SUITE 309, BOCA RATON, FL 33431-7202
(561) 826-2002
(561) 826-2003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN16134
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN17306
FL
Other
Enumeration date
05/26/2009
Last updated
07/15/2010
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