| Northstar Dental, Inc. | |
|
1225 N Military Trl West Palm Beach FL 33409-6059 | |
| (561) 721-9992 | |
| (561) 686-8948 |
| Full Name | Northstar Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1225 N Military Trl, West Palm Beach, Florida |
| Authorized Official Name and Position | Ralph Jimenez (OWNER) |
| Authorized Official Contact | 5617219992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Dental, Inc. 1225 N Military Trl West Palm Beach FL 33409-6059 Ph: (561) 721-9992 | Northstar Dental, Inc. 1225 N Military Trl West Palm Beach FL 33409-6059 Ph: (561) 721-9992 |
| NPI Number | 1801916861 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801916861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN9275 (Florida) | Primary |
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