Provider Demographics
NPI:1649767690
Name:DENTY US FL DMD,PA
Entity Type:Organization
Organization Name:DENTY US FL DMD,PA
Other - Org Name:FAMILY DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUSEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MESA ESTEVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-429-4645
Mailing Address - Street 1:2763 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-2137
Mailing Address - Country:US
Mailing Address - Phone:561-429-4645
Mailing Address - Fax:561-429-4699
Practice Address - Street 1:2763 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2137
Practice Address - Country:US
Practice Address - Phone:561-429-4645
Practice Address - Fax:561-429-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-16
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental