Organization
CHILDRENS DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSCAR RODOLFO BENDECK SR. (CFO)
(561) 626-9887
Entity
Organization
Contact information
Practice address
200 VILLAGE SQUARE XING, SUITE 101, PALM BEACH GARDENS, FL 33410-3224
(561) 626-9887
(561) 627-4451
Mailing address
200 VILLAGE SQUARE XING, SUITE 101, PALM BEACH GARDENS, FL 33410-3224
(561) 626-9887
(561) 627-4451
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN10445
FL
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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