Profiles Ii Oral And Facial Surgery Center | |
2560 Rca Blvd Suite 102 Palm Beach Gardens FL 33410-3338 | |
(561) 622-9065 | |
Not Available |
Full Name | Profiles Ii Oral And Facial Surgery Center |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2560 Rca Blvd, Palm Beach Gardens, Florida |
Authorized Official Name and Position | Janice Scotland (OFFICE MANAGER) |
Authorized Official Contact | 5616229065 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Profiles Ii Oral And Facial Surgery Center 2560 Rca Blvd Suite 102 Palm Beach Gardens FL 33410-3338 Ph: (561) 622-9065 | Profiles Ii Oral And Facial Surgery Center 2560 Rca Blvd Suite 102 Palm Beach Gardens FL 33410-3338 Ph: (561) 622-9065 |
NPI Number | 1124355037 |
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Provider Enumeration Date | 11/13/2009 |
Last Update Date | 07/15/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124355037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN17793 (Florida) | Primary |
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