| NPI | 1386401495 |
|---|---|
| Doing Business As | BOYNTON MALL MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K TOLMIE Owner 561-210-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |