Organization
CHILDREN'S HOSPITAL DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURT JORDAN (CEO)
(561) 685-7020
Entity
Organization
Contact information
Practice address
1411 N FLAGLER DR, #4100, WEST PALM BEACH, FL 33401-3404
(561) 685-7020
Mailing address
9751 E BAY HARBOR DR, #1204, BAY HARBOR ISLANDS, FL 33154-3830
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6848
FL
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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