Organization
FAMILY DENTIST OF PALM BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITHA SIRIVOLU D.M.D (PRESIDENT)
(561) 795-7668
Entity
Organization
Contact information
Practice address
11903 SOUTHERN BLVD, STE 116, ROYAL PALM BEACH, FL 33411-7644
(561) 795-7668
Mailing address
11903 SOUTHERN BLVD, STE 116, ROYAL PALM BEACH, FL 33411-7644
(561) 795-7668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN12943
FL
1223G0001X
General Practice Dentistry
Primary
DN15871
FL
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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