Healthcare Provider Details
I. General information
NPI: 1801071824
Provider Name (Legal Business Name): DONALD R CURL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/09/2008
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1150 45TH ST
WEST PALM BEACH FL
33407-2361
US
IV. Provider business mailing address
11535 BUCKHAVEN LN
WEST PALM BEACH FL
33412-1607
US
V. Phone/Fax
- Phone: 561-514-5310
- Fax:
- Phone: 561-514-5310
- Fax: 514-355-6574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223D0001X |
| Taxonomy | Public Health Dentistry |
| License Number | DN 6325 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: