Antic Groen, Bas Michael

Antic Groen, Bas Michael is an sole proprietor health care provider with primary practice located at 100 S Military Trl Suite 4, Deerfield Beach FL 33442-3032. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Antic Groen, Bas Michael can be contacted via phone (954) 725-3717.

Contact Information

Primary practice address
100 S Military Trl Suite 4 Deerfield Beach FL 33442-3032
Phone: (954) 725-3717
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN17852 Florida
Dental Providers / Endodontics 1223E0200X 55473 California
Dental Providers / Endodontics 1223E0200X D6709 Arizona

Profile Details

NPI number 1912118118
LBN Legal business name Antic Groen, Bas Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2007
Last updated May 14th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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