Organization
EAST DELRAY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN O'HAGAN D.M.D. (MANAGER)
(561) 276-2020
Entity
Organization
Contact information
Practice address
715 NE 3RD AVE, DELRAY BEACH, FL 33444-3822
(561) 276-2020
(561) 276-4713
Mailing address
715 NE 3RD AVE, DELRAY BEACH, FL 33444-3822
(561) 276-2020
(561) 276-4713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21073
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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