Nicolas C. Defabrique DMD

NPI 1073606596 - Dentist - 1223G0001X

NPI Details
NPI 1073606596
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2401 PGA BLVD.
SUITE 276
PALM BEACH GARDENS FL, 33410, US
Phone (541) 624-5801
Fax (561) 624-7976
Business Location
2401 PGA BLVD.
SUITE 276
PALM BEACH GARDENS FL, 33410, US
Phone (541) 624-5801
Fax (561) 624-7976
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN 15642
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According to our database, Nicolas C. Defabrique DMD NPI is 1073606596, taxonomy code is 1223G0001X and license number is DN 15642, license state is located at Florida. Nicolas C. Defabrique DMD physically located at 2401 Pga Blvd., Palm Beach Gardens FL, 33410. NPI Number Nicolas C. Defabrique DMD has the Individual type.

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1073606596 NPI number is provided on an as is basis without warranty of any kind. 1073606596 is maintained by the National Plan & Provider Enumeration System. The contents of Nicolas C. Defabrique DMD are for informational purposes only.