Individual
DR. JOHN GIANATASIO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10075 S JOG RD STE 200, BOYNTON BEACH, FL 33437-3536
(561) 733-8580
(561) 733-8844
Mailing address
10075 S JOG RD STE 200, BOYNTON BEACH, FL 33437-3536
(561) 733-8580
(561) 733-8844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9852
FL
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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