Boukzam, Mark A

Boukzam, Mark A is an sole proprietor health care provider with primary practice located at 4048 W Hillsboro Blvd , Deerfield Beach FL 33442. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boukzam, Mark A can be contacted via phone (954) 429-8506.

Contact Information

Primary practice address
4048 W Hillsboro Blvd Deerfield Beach FL 33442
Phone: (954) 429-8506
Fax: (954) 429-9480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN10455 Florida

Profile Details

NPI number 1205264348
LBN Legal business name Boukzam, Mark A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2013
Last updated Oct 29th, 2013 - about 12 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.

Request for update

Popular Providers