Organization
FL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA SAMUELSON (CEO)
(561) 859-5052
Entity
Organization
Contact information
Practice address
4765 W ATLANTIC AVE, DELRAY BEACH, FL 33445-3838
(561) 859-5052
(954) 374-6955
Mailing address
4765 W ATLANTIC AVE, DELRAY BEACH, FL 33445-3838
(561) 859-5052
(954) 374-6955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
06/28/2021
Last updated
07/10/2023
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