C Nick Deture Pa | |
1500 E Hillsboro Blvd Ste 101 Deerfield Beach FL 33441-4356 | |
(954) 427-5700 | |
(954) 427-5990 |
Full Name | C Nick Deture Pa |
---|---|
Speciality | Dentist |
Location | 1500 E Hillsboro Blvd Ste 101, Deerfield Beach, Florida |
Authorized Official Name and Position | Christopher Deture (DOCTOR/OWNER) |
Authorized Official Contact | 9544275700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C Nick Deture Pa 1500 E Hillsboro Blvd Ste 101 Deerfield Beach FL 33441-4356 Ph: (954) 427-5700 | C Nick Deture Pa 1500 E Hillsboro Blvd Ste 101 Deerfield Beach FL 33441-4356 Ph: (954) 427-5700 |
NPI Number | 1417300435 |
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Provider Enumeration Date | 07/14/2016 |
Last Update Date | 07/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417300435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN14431 (Florida) | Primary |
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