| NPI | 1750586079 |
|---|---|
| Professional Name | BOCA OROFACIAL PAIN CENTER,PA. |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN12267) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: HI 1671) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2011-12-22 |