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NPI Code Detail

MEDICARE: DENTALWORKS STUDIO OF DELRAY BEACH, PA

MEDICARE: DENTALWORKS STUDIO OF DELRAY BEACH, 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
11223G0001XGeneral Practice DentistryDN 18835FL

General Provider Information

NPI Number : 1669794954
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTALWORKS STUDIO OF DELRAY BEACH, PA
Provider Business Mailing Address
First Line : 6336 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33415-6104
Country : US
Telephone Number : 561-642-1177
Fax Number :
Provider Business Practice Location Address
First Line : 6336 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33415-6104
Country : US
Telephone Number : 561-642-1177
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : DR. CLAUDIA J ORTEGA
Credential : DMD
Telephone Number : 561-274-0406
Provider Enumeration Date : 02/27/2010
Last Update Date : 05/06/2016

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Directions to “DENTALWORKS STUDIO OF DELRAY BEACH, PA ” Practice Location

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