Organization
EKOS POINCIANA, PLLC
Active
Other names
Poinciana Modern Dentists
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA DEJESUS (OPERATIONS)
(813) 340-0116
Entity
Organization
Contact information
Practice address
4748 MARIGOLD AVE, POINCIANA, FL 34758-4380
(407) 449-2630
(407) 449-2631
Mailing address
8794 BOYNTON BEACH BLVD STE 218, BOYNTON BEACH, FL 33472-4469
(561) 899-7115
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
04/03/2025
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