Organization
PALM BEACH PERIODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL ALAN GORNSTEIN D.D.S., M.S. (OWNER)
(561) 967-0476
Entity
Organization
Contact information
Practice address
1840 FOREST HILL BLVD, SUITE #202, WEST PALM BEACH, FL 33406-6063
(561) 967-0476
(561) 967-9138
Mailing address
1840 FOREST HILL BLVD, SUITE #202, WEST PALM BEACH, FL 33406-6063
(561) 967-0476
(561) 967-9138
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15413
FL
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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