Organization
DENTALMED ASSOCIATES LLC
Active
Parent organization
DENTALMED ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALMED ASSOCIATES LLC
Authorized official
DR. FEDERICO DIEZ DDS (OWNER/DENTIST)
(954) 505-7631
Entity
Organization
Contact information
Practice address
6100 GLADES RD STE 210, BOCA RATON, FL 33434-4371
(561) 409-3496
Mailing address
6100 GLADES RD STE 210, BOCA RATON, FL 33434-4371
(561) 409-3496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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