| Intercoastal Dental Pllc | |
|
11940 Us 1 Ste 245 Palm Beach Gardens FL 33408-2832 | |
| (626) 264-0182 | |
| Not Available |
| Full Name | Intercoastal Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11940 Us 1 Ste 245, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Alexandre Eian Gaeta (PRESIDENT) |
| Authorized Official Contact | 6262640182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercoastal Dental Pllc 104 Santa Barbara Way Palm Beach Gardens FL 33410-4319 Ph: () - | Intercoastal Dental Pllc 11940 Us 1 Ste 245 Palm Beach Gardens FL 33408-2832 Ph: (626) 264-0182 |
| NPI Number | 1205563004 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205563004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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