| Prestige Periodontal And Implant Center | |
|
11641 Kew Gardens Ave Suite 209 Palm Beach Gardens FL 33410-2763 | |
| (561) 693-3236 | |
| Not Available |
| Full Name | Prestige Periodontal And Implant Center |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 11641 Kew Gardens Ave, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Pawel D Fotek (OWNER) |
| Authorized Official Contact | 5616933236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Periodontal And Implant Center 11641 Kew Gardens Ave Suite 209 Palm Beach Gardens FL 33410-2763 Ph: (561) 693-3236 | Prestige Periodontal And Implant Center 11641 Kew Gardens Ave Suite 209 Palm Beach Gardens FL 33410-2763 Ph: (561) 693-3236 |
| NPI Number | 1063953875 |
|---|---|
| Provider Enumeration Date | 03/13/2017 |
| Last Update Date | 03/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063953875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN18002 (Florida) | Primary |
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