| Cosmetic Da | |
|
3676 Collin Dr Suite 4 West Palm Beach FL 33406-4727 | |
| (561) 965-0292 | |
| (561) 965-0256 |
| Full Name | Cosmetic Da |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3676 Collin Dr, West Palm Beach, Florida |
| Authorized Official Name and Position | Maria M Egusquiza (DOCTOR/OWNER) |
| Authorized Official Contact | 5619650292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic Da 3676 Collin Dr Suite 4 West Palm Beach FL 33406-4727 Ph: (561) 965-0292 | Cosmetic Da 3676 Collin Dr Suite 4 West Palm Beach FL 33406-4727 Ph: (561) 965-0292 |
| NPI Number | 1659828705 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659828705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0012314 (Florida) | Primary |
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