Dental Store Inc

NPI 1063552727 - Dentist - 1223E0200X

NPI Details
NPI 1063552727
Enumeration Date 02/08/2007
Last Updated 05/27/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEORGE GEORGE
Position PRESIDENT/GENERAL DENTIST
Phone (561) 395-1486
Fax (561) 395-1525
Practice Location
2151 NW 2ND AVE
SUITE 102
BOCA RATON FL, 33431, US
Phone (561) 395-1486
Fax (561) 395-1525
Business Location
2151 NW 2ND AVE
SUITE 102
BOCA RATON FL, 33431, US
Phone (561) 395-1486
Fax (561) 395-1525
Toxanomy
Taxonomy Code 1223E0200X
License State Florida
License Number DN6099
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According to our database, Dental Store Inc NPI is 1063552727, taxonomy code is 1223E0200X and license number is DN6099, license state is located at Florida. Dental Store Inc physically located at 2151 Nw 2nd Ave, Boca Raton FL, 33431. NPI Number 1033115704 has the healthcare provider type.

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1063552727 NPI number is provided on an as is basis without warranty of any kind. 1063552727 is maintained by the National Plan & Provider Enumeration System. The contents of Dental Store Inc are for informational purposes only.