Organization
SOUTH FLORIDA CENTER FOR PERIODONTICS & IMPLANT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICK NORKIN (VICE-PRESIDENT)
(561) 912-9993
Entity
Organization
Contact information
Practice address
3020 N MILITARY TRAIL, SUITE 200, BOCA RATON, FL 33431
(561) 912-9993
(561) 912-9883
Mailing address
3020 N MILITARY TRAIL, SUITE 200, BOCA RATON, FL 33431
(561) 912-9993
(561) 912-9883
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN11979
FL
1223P0300X
Periodontics
DN14637
—
1223P0300X
Periodontics
DN21795
FL
Other
Enumeration date
03/02/2007
Last updated
04/23/2019
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