Organization
MARK BOUKZAM DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A BOUKZAM DMD (PRESIDENT OWNER)
(954) 429-8506
Entity
Organization
Contact information
Practice address
4048 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442
(954) 429-8506
(954) 429-9480
Mailing address
4048 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442
(954) 429-8506
(954) 429-9480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10455
FL
Other
Enumeration date
04/11/2007
Last updated
06/25/2008
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