| NPI | 1649008020 |
|---|---|
| Doing Business As | BOCA PERIO |
| Entity Type | Organization |
| Authorized Contact | DANIEL NOORTHOEK CEO 561-400-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |