Provider Demographics
NPI:1740452325
Name:EAST BOCA DENTAL IMPLANTS&PROSTHODONTICS
Entity type:Organization
Organization Name:EAST BOCA DENTAL IMPLANTS&PROSTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-395-3190
Mailing Address - Street 1:900 NW 13TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-395-3190
Mailing Address - Fax:561-385-3199
Practice Address - Street 1:900 NW 13TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2335
Practice Address - Country:US
Practice Address - Phone:561-395-3190
Practice Address - Fax:561-385-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN174541223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty