MEDICARE: DR. MARTIN YODOWITZ D.M.D.

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	1223G0001X	General Practice Dentistry	DN11183	FL

General Provider Information

NPI Number	:	1619928637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN YODOWITZ D.M.D.

Provider Business Mailing Address
First Line	:	4674 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-689-5300
Fax Number	:	561-689-0991

Provider Business Practice Location Address
First Line	:	4674 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4624
Country	:	US
Telephone Number	:	561-689-5300
Fax Number	:	561-689-0991

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	08/05/2015

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