MEDICARE: GARINE PROSTHODONTICS PA

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	122300000X	Dentist

General Provider Information

NPI Number	:	1083000426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARINE PROSTHODONTICS PA

Provider Business Mailing Address
First Line	:	4100 S DIXIE HWY
Second Line	:	STE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2647
Country	:	US
Telephone Number	:	561-832-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 S DIXIE HWY
Second Line	:	STE B
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-2647
Country	:	US
Telephone Number	:	561-832-2551
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WAEL NABIL GARINE
Credential	:	DDS
Telephone Number	:	561-832-2551

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	04/13/2015

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