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Dental Assistant

West Palm Beach, Florida

Provider NPI: 1801132451

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 561-422-7734  Fax: --

Business Mailing Address:
Tel: 305-394-1578  Fax: --

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
ZZDR 129942


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