Provider Demographics
NPI:1245432749
Name:AAA AMALGAMATED SERVICES, INC.
Entity Type:Organization
Organization Name:AAA AMALGAMATED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-242-0304
Mailing Address - Street 1:4645 GUN CLUB RD
Mailing Address - Street 2:#25
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-2859
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4645 GUN CLUB RD
Practice Address - Street 2:#25
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-2859
Practice Address - Country:US
Practice Address - Phone:561-242-0304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL62531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty