NPI 1043528680

Poinciana Dental, LLC

Organisation Point of Service Poinciana, FL

Practice location

Address: 873 Cypress Pkwy, Poinciana, FL 34759-3408
Phone: (407) 846-4775

Authorised official

Name: Christina Boesch
Title: Dentist
Phone: (407) 846-4775

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence DN15940 (FL)

Other Point of Service providers in Florida →

Registry record

NPI: 1043528680
Entity type: Organization
NPI issued: 16 Sep 2010
Record last updated: 16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.