| Theoral Health Institute | |
|
910 Sw 15th St Deerfield Beach FL 33441-6222 | |
| (312) 925-0042 | |
| Not Available |
| Full Name | Theoral Health Institute |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 910 Sw 15th St, Deerfield Beach, Florida |
| Authorized Official Name and Position | Jason Korkus (BOARD MEMBER) |
| Authorized Official Contact | 3129250042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theoral Health Institute 678 Greenleaf Ave Glencoe IL 60022-1765 Ph: (312) 925-0042 | Theoral Health Institute 910 Sw 15th St Deerfield Beach FL 33441-6222 Ph: (312) 925-0042 |
| NPI Number | 1255705273 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255705273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | DN20850 (Florida) | Primary |
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