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Organization

POMPANO BEACH PERIODONTICS PLLC

Active
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Organization

POMPANO BEACH PERIODONTICS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON A WITONSKY DMD (MANAGINGMEMBER)
(954) 782-7911
Entity
Organization

Contact information

Practice address
2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL 33062-1148
(954) 782-7911
(954) 782-7925
Mailing address
2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL 33062-1148
(954) 782-7911
(954) 782-7925

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN18938
FL

Other

Enumeration date
10/11/2013
Last updated
10/11/2013
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