| NPI | 1194288985 |
|---|---|
| Doing Business As | BOYNTON BEACH MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MINH PHAM Owner/Dds 561-200-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-07-10 |