Fredrick Dental, Pa

NPI 1801014410 - Dentist - 1223G0001X

NPI Details
NPI 1801014410
Enumeration Date 04/22/2007
Last Updated 02/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON WAYNE JASON
Position PRESIDENT
Phone (561) 743-6700
Fax (561) 743-9314
Practice Location
10156 W INDIANTOWN RD
JUPITER FL, 33478-4707, US
Phone (561) 743-6700
Fax (561) 743-9314
Business Location
10156 W INDIANTOWN RD
JUPITER FL, 33478-4707, US
Phone (561) 743-6700
Fax (561) 743-9314
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN14300
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According to our database, Fredrick Dental, Pa NPI is 1801014410, taxonomy code is 1223G0001X and license number is DN14300, license state is located at Florida. Fredrick Dental, Pa physically located at 10156 W Indiantown Rd, Jupiter FL, 33478-4707. NPI Number 1033115704 has the healthcare provider type.

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1801014410 NPI number is provided on an as is basis without warranty of any kind. 1801014410 is maintained by the National Plan & Provider Enumeration System. The contents of Fredrick Dental, Pa are for informational purposes only.