| Dr. Lisa Pediatric Dentistry | |
|
9804 S Military Trl Suite E-3 Boynton Beach FL 33436-3208 | |
| (561) 737-3633 | |
| (561) 737-5194 |
| Full Name | Dr. Lisa Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9804 S Military Trl, Boynton Beach, Florida |
| Authorized Official Name and Position | Lisa M Feldman (PRESIDENT) |
| Authorized Official Contact | 5617373633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lisa Pediatric Dentistry 9804 S Military Trl Suite E-3 Boynton Beach FL 33436-3208 Ph: (561) 737-3633 | Dr. Lisa Pediatric Dentistry 9804 S Military Trl Suite E-3 Boynton Beach FL 33436-3208 Ph: (561) 737-3633 |
| NPI Number | 1902940315 |
|---|---|
| Provider Enumeration Date | 02/18/2007 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902940315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN11970 (Florida) | Primary |
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