Healthcare Provider Details

I. General information

NPI: 1023924313
Provider Name (Legal Business Name): AFFORDABLE DENTURES & IMPLANTS - WEST PALM BEACH, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6076 OKEECHOBEE BLVD STE 20
WEST PALM BEACH FL
33417-4351
US

IV. Provider business mailing address

6076 OKEECHOBEE BLVD STE 20
WEST PALM BEACH FL
33417-4351
US

V. Phone/Fax

Practice location:
  • Phone: 561-687-1360
  • Fax:
Mailing address:
  • Phone: 561-687-1360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: THERESA MANRIQUE
Title or Position: OWNER
Credential: DMD
Phone: 561-687-1360