| South Palm Dental | |
|
555 N Congress Ave Suite 303 Boynton Beach FL 33426-3469 | |
| (561) 301-8822 | |
| Not Available |
| Full Name | South Palm Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 555 N Congress Ave, Boynton Beach, Florida |
| Authorized Official Name and Position | Mary Helen S Habib (PRESIDENT) |
| Authorized Official Contact | 5613018822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Palm Dental 555 N Congress Ave Suite 303 Boynton Beach FL 33426-3469 Ph: (561) 301-8822 | South Palm Dental 555 N Congress Ave Suite 303 Boynton Beach FL 33426-3469 Ph: (561) 301-8822 |
| NPI Number | 1235419573 |
|---|---|
| Provider Enumeration Date | 08/18/2011 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235419573 | NPI | - | NPPES |
| 1881899631 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN17961 (Florida) | Primary |
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