| Pediatric & General Dentistry Of Palm Beach, Pa | |
|
1620 S Congress Ave Ste 102 Palm Springs FL 33461-2128 | |
| (617) 770-0955 | |
| Not Available |
| Full Name | Pediatric & General Dentistry Of Palm Beach, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1620 S Congress Ave Ste 102, Palm Springs, Florida |
| Authorized Official Name and Position | Liliem Socarras Diaz (PEDIATRIC DENTIST) |
| Authorized Official Contact | 5615085930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric & General Dentistry Of Palm Beach, Pa 1620 S Congress Ave Ste 102 Palm Springs FL 33461-2128 Ph: (561) 777-0095 | Pediatric & General Dentistry Of Palm Beach, Pa 1620 S Congress Ave Ste 102 Palm Springs FL 33461-2128 Ph: (617) 770-0955 |
| NPI Number | 1235698556 |
|---|---|
| Provider Enumeration Date | 03/16/2019 |
| Last Update Date | 07/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235698556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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