Organization
DEYAB DDS PLLC
Active
Other names
Quantum Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM DEYAB DDS (OWNER)
(561) 249-2585
Entity
Organization
Contact information
Practice address
1034 GATEWAY BLVD STE 101, BOYNTON BEACH, FL 33426-8360
(561) 249-2585
(561) 318-8040
Mailing address
1034 GATEWAY BLVD STE 101, BOYNTON BEACH, FL 33426-8360
(561) 249-2585
(561) 318-8040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124119474
—
FL
Enumeration date
05/22/2023
Last updated
08/03/2023
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