| Pediatric Dentistry In The Gardens | |
|
11382 Prosperity Farms Rd Ste 129 Palm Beach Gardens FL 33410-3463 | |
| (561) 622-9601 | |
| Not Available |
| Full Name | Pediatric Dentistry In The Gardens |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11382 Prosperity Farms Rd Ste 129, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Ryan Michael Owaski (PRESIDENT) |
| Authorized Official Contact | 9174457835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry In The Gardens 11382 Prosperity Farms Rd Ste 129 Palm Beach Gardens FL 33410-3463 Ph: (561) 622-9601 | Pediatric Dentistry In The Gardens 11382 Prosperity Farms Rd Ste 129 Palm Beach Gardens FL 33410-3463 Ph: (561) 622-9601 |
| NPI Number | 1518456375 |
|---|---|
| Provider Enumeration Date | 05/08/2018 |
| Last Update Date | 05/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518456375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN18578 (Florida) | Primary |
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