| Palm Beach Prosthodontics, Llc | |
|
1401 Forum Way Suite 800 West Palm Beach FL 33401 | |
| (561) 682-0999 | |
| (561) 383-0899 |
| Full Name | Palm Beach Prosthodontics, Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1401 Forum Way, West Palm Beach, Florida |
| Authorized Official Name and Position | Miguel J. Santamarina (VICE - PRESIDENT) |
| Authorized Official Contact | 5616820999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Beach Prosthodontics, Llc 1401 Forum Way Suite 800 West Palm Beach FL 33401 Ph: (561) 682-0999 | Palm Beach Prosthodontics, Llc 1401 Forum Way Suite 800 West Palm Beach FL 33401 Ph: (561) 682-0999 |
| NPI Number | 1477793933 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477793933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Florida) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (Florida) | Primary |
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