Icp Dental Group | |
3695 W Boynton Beach Blvd Suite #5 Boynton Beach FL 33436-4516 | |
(561) 734-0505 | |
(561) 734-0506 |
Full Name | Icp Dental Group |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 3695 W Boynton Beach Blvd, Boynton Beach, Florida |
Authorized Official Name and Position | Vladimir Jovic (PRESIDENT) |
Authorized Official Contact | 4075928520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Icp Dental Group 4835 Gabriella Ln Oviedo FL 32765-8695 Ph: () - | Icp Dental Group 3695 W Boynton Beach Blvd Suite #5 Boynton Beach FL 33436-4516 Ph: (561) 734-0505 |
NPI Number | 1619384955 |
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Provider Enumeration Date | 07/18/2014 |
Last Update Date | 07/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619384955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | DN 17952 (* (Not Available)) | Primary |
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