Provider Demographics
NPI:1780237750
Name:FLORA DENTAL, P.A.
Entity type:Organization
Organization Name:FLORA DENTAL, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTSI-ENCHILL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-266-4499
Mailing Address - Street 1:15065 S STATE ROAD 7 STE 500
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-4105
Mailing Address - Country:US
Mailing Address - Phone:561-266-4499
Mailing Address - Fax:
Practice Address - Street 1:15065 S STATE ROAD 7 STE 500
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-4105
Practice Address - Country:US
Practice Address - Phone:513-288-6246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental