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Bas Antic Groen, D.D.S

NPI 1912118118 · on the registry since 2007 · sole proprietor

Practice

Address
100 S Military Trl
Suite 4
Deerfield Beach, FL 33442
Phone
(954) 725-3717
Organisation at this address
Th Grp Llc
Lance Wald Dc Pa
Quantum Detox Llc
Marvin Reich Md Pa
Amber Burks, O.D., P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
1223E0200X
1223E0200X
Also registered as
1223E0200X
1223E0200X
Licence states on file
FL, CA, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida