Organization
INTEGRAL DENTAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BETANCES (MANAGER)
(561) 386-1096
Entity
Organization
Contact information
Practice address
2311 10TH AVE N STE 14, LAKE WORTH, FL 33461-6605
(561) 253-0158
(561) 540-4430
Mailing address
2311 10TH AVE N STE 14, LAKE WORTH, FL 33461-6605
(561) 253-0158
(561) 540-4430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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