Organization

Poinciana Dental, Llc

Point of Service in Poinciana, FL(View on Map)

Legal Business Name

Poinciana Dental, Llc

NPI Number

1043528680

NPI Type

Organization

Enumeration Date

09/16/2010

Specialties

(Taxonomies)

Code

305S00000X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

DN15940

Contact
Information

Purpose

Mailing
Location

Address

873 CYPRESS PKWY
873 CYPRESS PKWY

City

Poinciana
Poinciana

State

FL
FL

Postal Code

34759-3408
34759-3408

Country

US
US

Telephone Number

(407) 846-4775
(407) 846-4775

Authorized Official

Name

Dr. Christina Boesch

Title or Position

DENTIST

Telephone Number

(407) 846-4775

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/16/2010

Provider Address