Provider Demographics
NPI:1316502503
Name:APPEARANCE IMPLANT AND FAMILY DENTISTRTY
Entity type:Organization
Organization Name:APPEARANCE IMPLANT AND FAMILY DENTISTRTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-250-6307
Mailing Address - Street 1:6390 W INDIANTOWN RD STE 32
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7980
Mailing Address - Country:US
Mailing Address - Phone:561-250-6307
Mailing Address - Fax:
Practice Address - Street 1:6390 W INDIANTOWN RD STE 32
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7980
Practice Address - Country:US
Practice Address - Phone:561-250-6307
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental