| |
440 S State Road 7 Ste 100 Royal Palm Beach FL 33414-4414 | |
(561) 753-6963 | |
(561) 784-1474 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 440 S State Road 7 Ste 100, Royal Palm Beach, Florida |
Authorized Official Name and Position | Justin Griffee (OWNER) |
Authorized Official Contact | 5617536963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | 440 S State Road 7 Ste 100 Royal Palm Beach FL 33414-4414 Ph: (561) 753-6963 |
NPI Number | 1902354350 |
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Provider Enumeration Date | 09/14/2016 |
Last Update Date | 09/14/2016 |
Identifier | Type | State | Issuer |
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1902354350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | DN18151 (Florida) | Primary |
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