Organization
PALM BEACH ORTHODONTICS INC
Active
Organization
PALM BEACH ORTHODONTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARROL ANN FENN DDS (OWNER)
(561) 686-3335
Entity
Organization
Contact information
Practice address
400 EXECUTIVE CENTER DR, SUITE 105, WEST PALM BEACH, FL 33401-2917
(561) 686-3335
(561) 687-9183
Mailing address
400 EXECUTIVE CENTER DR, SUITE 105, WEST PALM BEACH, FL 33401-2917
(561) 686-3335
(561) 687-9183
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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