Organization
THE KIDS DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA CAPRA DDS (DENTIST/OWNER)
(954) 534-6260
Entity
Organization
Contact information
Practice address
15065 S STATE ROAD 7 STE 650, DELRAY BEACH, FL 33446-4110
(561) 840-5437
(561) 840-1042
Mailing address
15065 STATE ROAD 7, STE 650, DELRAY BEACH, FL 33446
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013292400
—
FL
Enumeration date
05/07/2019
Last updated
05/13/2020
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