Organization
DEERFIELD BEACH DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVED FATMI DMD (OWNER)
(786) 457-3690
Entity
Organization
Contact information
Practice address
1100 S FEDERAL HWY STE 100, DEERFIELD BEACH, FL 33441-7000
(561) 998-0727
Mailing address
3003 W YAMATO RD STE C5, BOCA RATON, FL 33434-5337
(561) 998-0727
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN18878
DENTAL LICENSE
FL
Enumeration date
04/05/2022
Last updated
04/05/2022
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