| Palm Beach Mall Dental Group,pl | |
|
1801 Palm Beach Lakes Blvd #852 West Palm Beach FL 33401-2020 | |
| (561) 683-6247 | |
| (561) 683-6248 |
| Full Name | Palm Beach Mall Dental Group,pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 Palm Beach Lakes Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Pamela Loretta Nielsen (OWNER) |
| Authorized Official Contact | 5616836247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Mall Dental Group,pl 1801 Palm Beach Lakes Blvd #852 West Palm Beach FL 33401-2020 Ph: (561) 683-6247 | Palm Beach Mall Dental Group,pl 1801 Palm Beach Lakes Blvd #852 West Palm Beach FL 33401-2020 Ph: (561) 683-6247 |
| NPI Number | 1497845440 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497845440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0013591 (Florida) | Primary |
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