Organization
ALPHA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GOUNAKIS D.M.D (PRESIDENT)
(954) 980-6310
Entity
Organization
Contact information
Practice address
9897 LAKE WORTH RD, SUITE 108, LAKE WORTH, FL 33467-2375
(954) 980-6310
Mailing address
9897 LAKE WORTH RD, SUITE 108, LAKE WORTH, FL 33467-2375
(954) 980-6310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15663
FL
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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