Organization
SOUTHEASTERN DENTAL ASSOCIATES II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER I WANG DMD (CO OWNER)
(561) 575-7720
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD, BUILDING 5000 SUITE 204, JUPITER, FL 33458
(561) 575-7720
(561) 575-7751
Mailing address
210 JUPITER LAKES BLVD, BUILDING 5000 SUITE 204, JUPITER, FL 33458
(561) 575-7720
(561) 575-7751
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
DN14485
FL
1223P0300X
Periodontics
Primary
DN15761
FL
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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