| Mitchell Indictor, D.d.s., P.a. | |
|
207 Se 23rd Ave Suite 100 Boynton Beach FL 33435-7653 | |
| (561) 734-8600 | |
| (561) 738-6672 |
| Full Name | Mitchell Indictor, D.d.s., P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 Se 23rd Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Mitchell Indictor (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 5617348600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Indictor, D.d.s., P.a. 207 Se 23rd Ave Suite 100 Boynton Beach FL 33435-7653 Ph: (561) 734-8600 | Mitchell Indictor, D.d.s., P.a. 207 Se 23rd Ave Suite 100 Boynton Beach FL 33435-7653 Ph: (561) 734-8600 |
| NPI Number | 1699085498 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699085498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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