| Serenity Grove Dental Pllc | |
|
13475 Southern Blvd Suite 201 Loxahatchee FL 33470 | |
| (561) 318-0805 | |
| Not Available |
| Full Name | Serenity Grove Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13475 Southern Blvd, Loxahatchee, Florida |
| Authorized Official Name and Position | Tatyana Prosolupova (CEO) |
| Authorized Official Contact | 5613180805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Grove Dental Pllc 1331 Duval St Jupiter FL 33458-8761 Ph: () - | Serenity Grove Dental Pllc 13475 Southern Blvd Suite 201 Loxahatchee FL 33470 Ph: (561) 318-0805 |
| NPI Number | 1598513327 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598513327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Zinnia Sotolongo Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Southern Blvd Ste 114, Loxahatchee, FL 33470 Phone: 561-793-4477 | |
Loxahatchee Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15800 Orange Blvd, Loxahatchee, FL 33470 Phone: 561-621-1772 | |
Kiren George Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13005 Southern Blvd Ste 143, Loxahatchee, FL 33470 Phone: 561-790-5414 |