MEDICARE: CADETTE DENTAL BOCA P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1801510987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CADETTE DENTAL BOCA P.A

Provider Business Mailing Address
First Line	:	7126 BERACASA WAY
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3448
Country	:	US
Telephone Number	:	561-295-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	7126 BERACASA WAY STE 2
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3448
Country	:	US
Telephone Number	:	561-295-4351
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARTINE FORRESTER CADETTE
Credential	:	DMD
Telephone Number	:	561-295-4351

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	06/28/2023

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