| Dental Office | |
|
1620 S Congress Ave Suite 102 Palm Springs FL 33461-2128 | |
| (561) 434-6661 | |
| (561) 434-6662 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 1620 S Congress Ave, Palm Springs, Florida |
| Authorized Official Name and Position | Wanda Febo-cuello (OWNER) |
| Authorized Official Contact | 5614346661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 1620 S. Congress Avenue Suite 102 Palm Springs FL 33461-2128 Ph: (561) 434-6661 | Dental Office 1620 S Congress Ave Suite 102 Palm Springs FL 33461-2128 Ph: (561) 434-6661 |
| NPI Number | 1790863330 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790863330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN 14436 (Florida) | Primary |
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