| Professional Dental Alliance Of Palm Beach Gardens, Pllc | |
|
11701 Lake Victoria Gardens Ave Ste 2201 Palm Beach Gardens FL 33410-2764 | |
| (561) 623-9935 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Palm Beach Gardens, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11701 Lake Victoria Gardens Ave Ste 2201, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7575765479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Palm Beach Gardens, Pllc 11 S Mill St New Castle PA 16101-3680 Ph: () - | Professional Dental Alliance Of Palm Beach Gardens, Pllc 11701 Lake Victoria Gardens Ave Ste 2201 Palm Beach Gardens FL 33410-2764 Ph: (561) 623-9935 |
| NPI Number | 1518590306 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518590306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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