| Lake Worth Family Dentistry, Pa | |
|
6427 Lake Worth Rd Ste 102 Greenacres FL 33463-2900 | |
| (561) 649-6446 | |
| Not Available |
| Full Name | Lake Worth Family Dentistry, Pa |
|---|---|
| Speciality | Dentist |
| Location | 6427 Lake Worth Rd Ste 102, Greenacres, Florida |
| Authorized Official Name and Position | Ilya Stein (PRESIDENT) |
| Authorized Official Contact | 5555555555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Worth Family Dentistry, Pa 10800 Avenida Del Rio Delray Beach FL 33446-2444 Ph: () - | Lake Worth Family Dentistry, Pa 6427 Lake Worth Rd Ste 102 Greenacres FL 33463-2900 Ph: (561) 649-6446 |
| NPI Number | 1689824153 |
|---|---|
| Provider Enumeration Date | 09/22/2008 |
| Last Update Date | 09/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689824153 | NPI | - | NPPES |
| 070167000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN14972 (Florida) | Primary |
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