Provider Demographics
NPI:1336785609
Name:DORRI'S DENTAL P.A.
Entity Type:Organization
Organization Name:DORRI'S DENTAL P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDORRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-244-5001
Mailing Address - Street 1:12658 S. MILITARY TRAIL
Mailing Address - Street 2:SUITE #104
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12658 S. MILITARY TRAIL
Practice Address - Street 2:SUITE #104
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-5819
Practice Address - Country:US
Practice Address - Phone:561-244-5001
Practice Address - Fax:561-770-7372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty