MEDICARE: DEBORAH S. LUBELL DMD

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	1223P0221X	Pediatric Dentistry	DN 9269	FL

General Provider Information

NPI Number	:	1275587370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH S. LUBELL DMD

Provider Business Mailing Address
First Line	:	685 ROYAL PALM BEACH BLVD
Second Line	:	SUITE #201
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7642
Country	:	US
Telephone Number	:	561-795-7959
Fax Number	:	561-795-8919

Provider Business Practice Location Address
First Line	:	685 ROYAL PALM BEACH BLVD
Second Line	:	SUITE #201
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7642
Country	:	US
Telephone Number	:	561-795-7959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	01/10/2013

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