Polo Dental

LBN: Marianna Zadov, P.A
Polo Dental is an health care organization with primary practice located at 5030 Champion Blvd Ste G4 , Boca Raton FL 33496-2478. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Marianna Zadov, P.A can be contacted via phone (561) 241-7656, or through Leizgold, Simon via phone (561) 241-7656.

Contact Information

Primary practice address
5030 Champion Blvd Ste G4 Boca Raton FL 33496-2478
Phone: (561) 241-7656
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leizgold, Simon
Phone: (561) 241-7656

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN164481 Florida

Profile Details

NPI number 1841579257
LBN Legal business name Marianna Zadov, P.A
DBA Doing business as Polo Dental
Authorized official Leizgold, Simon
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2011
Last updated Sep 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841579257 NPPES
Florida MEDICAID 1104903301

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