| Family Dentist Of Palm Beach | |
|
11903 Southern Blvd Ste 116 Royal Palm Beach FL 33411-7644 | |
| (561) 795-7668 | |
| Not Available |
| Full Name | Family Dentist Of Palm Beach |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11903 Southern Blvd, Royal Palm Beach, Florida |
| Authorized Official Name and Position | Sunitha Sirivolu (PRESIDENT) |
| Authorized Official Contact | 5617957668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentist Of Palm Beach 11903 Southern Blvd Ste 116 Royal Palm Beach FL 33411-7644 Ph: (561) 795-7668 | Family Dentist Of Palm Beach 11903 Southern Blvd Ste 116 Royal Palm Beach FL 33411-7644 Ph: (561) 795-7668 |
| NPI Number | 1699913111 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699913111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15871 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN12943 (Florida) | Secondary |
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