Healthcare Provider Details

I. General information

NPI: 1790690816
Provider Name (Legal Business Name): LAURA ESTHER BOHBOT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N CONGRESS AVE STE 550
DELRAY BEACH FL
33445-3461
US

IV. Provider business mailing address

5840 LAKESHORE DR APT 3-217
FORT LAUDERDALE FL
33312-6404
US

V. Phone/Fax

Practice location:
  • Phone: 754-232-5404
  • Fax:
Mailing address:
  • Phone: 754-232-5404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32283
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: