| NPI | 1063552727 |
|---|---|
| Doing Business As | EAST BOCA DENTAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE SOROPOULOS President/General Dentist 561-395-1486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn15874) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL dn6099) |
| 1223G0001X Dentist, General Practice (Licence: FL dn8030) | |
| 1223P0300X Dentist, Periodontics (Licence: FL dn17801) | |
| 1223P0300X Dentist, Periodontics (Licence: FL dn16973) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-05-27 |