| Fresh Boca Dental | |
|
9840 Sandalfoot Blvd Boca Raton FL 33428-6645 | |
| (561) 910-1862 | |
| Not Available |
| Full Name | Fresh Boca Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9840 Sandalfoot Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | German Andres Ucros (OWNER) |
| Authorized Official Contact | 7872424148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Boca Dental 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: (561) 910-1862 | Fresh Boca Dental 9840 Sandalfoot Blvd Boca Raton FL 33428-6645 Ph: (561) 910-1862 |
| NPI Number | 1619352069 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619352069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19260 (Florida) | Primary |
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