Organization
PIKE PEDIATRIC DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TALIA PIKE DMD (PEDIATRIC DENTIST)
(954) 856-9955
Entity
Organization
Contact information
Practice address
1865 NW BOCA RATON BLVD, STE 102, BOCA RATON, FL 33432-1638
(561) 347-7006
Mailing address
1865 NW BOCA RATON BLVD, STE 102, BOCA RATON, FL 33432-1638
(561) 347-7006
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN17596
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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