Organization
PALM BEACH PROSTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL J. SANTAMARINA DMD (VICE - PRESIDENT)
(561) 682-0999
Entity
Organization
Contact information
Practice address
1401 FORUM WAY, SUITE 800, WEST PALM BEACH, FL 33401
(561) 682-0999
(561) 383-0899
Mailing address
1401 FORUM WAY, SUITE 800, WEST PALM BEACH, FL 33401
(561) 682-0999
(561) 383-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
FL
1223P0700X
Prosthodontics
Primary
—
FL
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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