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Individual

ILONA FOTEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D,M.S.

Contact information

Practice address
1401 FORUM WAY STE 800, WEST PALM BEACH, FL 33401-2322
(561) 327-6664
Mailing address
111 LA VIDA CT, PALM BEACH GARDENS, FL 33418-1720
(561) 779-7058

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17982
FL

Other

Enumeration date
07/11/2007
Last updated
11/10/2010
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