| Mark Boukzam Dmd Pa | |
|
4048 W Hillsboro Blvd Deerfield Beach FL 33442 | |
| (954) 429-8506 | |
| (954) 429-9480 |
| Full Name | Mark Boukzam Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 4048 W Hillsboro Blvd, Deerfield Beach, Florida |
| Authorized Official Name and Position | Mark A Boukzam (PRESIDENT OWNER) |
| Authorized Official Contact | 9544298506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Boukzam Dmd Pa 4048 W Hillsboro Blvd Deerfield Beach FL 33442 Ph: (954) 429-8506 | Mark Boukzam Dmd Pa 4048 W Hillsboro Blvd Deerfield Beach FL 33442 Ph: (954) 429-8506 |
| NPI Number | 1558584938 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558584938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10455 (Florida) | Primary |
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