Organization
DENTAL TEAM OF WEST PALM BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN WILLENS (CREDENTIALING MANAGER)
(561) 999-9650
Entity
Organization
Contact information
Practice address
951 BROKEN SOUND PKWY, 185, BOCA RATON, FL 33487-3507
(561) 999-9650
(561) 994-5449
Mailing address
1497 FOREST HILL BLVD, STE D, WEST PALM BEACH, FL 33406-6052
(561) 964-4699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN6483
FL
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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