Healthcare Provider Details
I. General information
NPI: 1225777618
Provider Name (Legal Business Name): AP DENTAL ARTS AND ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2022
Last Update Date: 06/02/2022
Certification Date: 06/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
721 US HIGHWAY 1 STE 106
NORTH PALM BEACH FL
33408-4519
US
IV. Provider business mailing address
8074 HOBBES WAY
PALM BEACH GARDENS FL
33418-6071
US
V. Phone/Fax
- Phone: 561-855-4703
- Fax:
- Phone: 239-595-7474
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NATALIA
TSAR
Title or Position: OWNER
Credential: DDS
Phone: 239-595-7474