Family Orthodontics | |
12797 Forest Hill Blvd Suite 6a Wellington FL 33414-4763 | |
(561) 762-6200 | |
Not Available |
Full Name | Family Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12797 Forest Hill Blvd, Wellington, Florida |
Authorized Official Name and Position | Daniel Bass (ORTHODONTIST) |
Authorized Official Contact | 5617626200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Orthodontics 12797 Forest Hill Blvd Suite 6a Wellington FL 33414-4763 Ph: (561) 762-6200 | Family Orthodontics 12797 Forest Hill Blvd Suite 6a Wellington FL 33414-4763 Ph: (561) 762-6200 |
NPI Number | 1003171703 |
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Provider Enumeration Date | 07/09/2012 |
Last Update Date | 07/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003171703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN 18630 (Florida) | Primary |
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