Organization
AGEAN DENTAL OF CORAL SPRINGS
Active
Parent organization
DENTAL STORE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL STORE INC.
Authorized official
DR. GEORGE SOROPOULOS DDS, BSME (PRESIDENT)
(561) 395-1486
Entity
Organization
Contact information
Practice address
10220 W SAMPLE RD, CORAL SPRINGS, FL 33065-3940
(954) 755-1009
Mailing address
2151 NW 2ND AVE, STE 101, BOCA RATON, FL 33431-6771
(561) 395-1486
(561) 948-2112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15874
FL
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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