| Patricia M. Jaquez, Dmd Pa | |
|
12297 Pembroke Rd Pembroke Pines FL 33025-1725 | |
| (954) 430-0308 | |
| Not Available |
| Full Name | Patricia M. Jaquez, Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12297 Pembroke Rd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Patricia M Jaquez (OWNER) |
| Authorized Official Contact | 9544300308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M. Jaquez, Dmd Pa 12297 Pembroke Rd Pembroke Pines FL 33025-1725 Ph: (954) 430-0308 | Patricia M. Jaquez, Dmd Pa 12297 Pembroke Rd Pembroke Pines FL 33025-1725 Ph: (954) 430-0308 |
| NPI Number | 1063879559 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063879559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17593 (Florida) | Primary |
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