| Staller Dental & Associates | |
|
5869 W Atlantic Ave Suite A2a Delray Beach FL 33484-8402 | |
| (561) 637-9300 | |
| (561) 637-1718 |
| Full Name | Staller Dental & Associates |
|---|---|
| Speciality | Dentist |
| Location | 5869 W Atlantic Ave, Delray Beach, Florida |
| Authorized Official Name and Position | Nathaniel Raymond Staller (PRESIDENT) |
| Authorized Official Contact | 5616379300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Staller Dental & Associates 5869 W Atlantic Ave Suite A2a Delray Beach FL 33484-8402 Ph: (561) 637-9300 | Staller Dental & Associates 5869 W Atlantic Ave Suite A2a Delray Beach FL 33484-8402 Ph: (561) 637-9300 |
| NPI Number | 1023417193 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023417193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN7779 (Florida) | Primary |
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