| Dentist/general Practice | |
|
1800 Forest Hill Blvd Ste A-3&a4 West Palm Beach FL 33406-6094 | |
| (561) 439-7400 | |
| (561) 439-7443 |
| Full Name | Dentist/general Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1800 Forest Hill Blvd Ste A-3&a4, West Palm Beach, Florida |
| Authorized Official Name and Position | Juana Maria Geldres (DENTIST/OWNER) |
| Authorized Official Contact | 5614397400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentist/general Practice 1800 Forest Hill Blvd Ste A-3&a4 West Palm Beach FL 33406-6094 Ph: (561) 439-7400 | Dentist/general Practice 1800 Forest Hill Blvd Ste A-3&a4 West Palm Beach FL 33406-6094 Ph: (561) 439-7400 |
| NPI Number | 1609162478 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609162478 | NPI | - | NPPES |
| 076071400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16169 (Florida) | Primary |
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