| Jupiter Pediatric Dentistry, Llc | |
|
654 W Indiantown Rd Ste 102 Jupiter FL 33458-7546 | |
| (561) 747-3338 | |
| (561) 277-2510 |
| Full Name | Jupiter Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 654 W Indiantown Rd Ste 102, Jupiter, Florida |
| Authorized Official Name and Position | Alyssa Lynn Benitez (OWNER) |
| Authorized Official Contact | 5617473338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jupiter Pediatric Dentistry, Llc 654 W Indiantown Rd Ste 102 Jupiter FL 33458-7546 Ph: (561) 747-3338 | Jupiter Pediatric Dentistry, Llc 654 W Indiantown Rd Ste 102 Jupiter FL 33458-7546 Ph: (561) 747-3338 |
| NPI Number | 1619432747 |
|---|---|
| Provider Enumeration Date | 02/03/2019 |
| Last Update Date | 02/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619432747 | NPI | - | NPPES |
| 1922521822 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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