Individual
AILEMA BAYOLA PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12783 FOREST HILL BLVD STE J, WELLINGTON, FL 33414-4772
(561) 244-8382
(561) 244-8366
Mailing address
12783 FOREST HILL BLVD STE J, WELLINGTON, FL 33414-4772
(561) 244-8382
(561) 244-8366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23125
FL
Other
Enumeration date
01/02/2018
Last updated
02/12/2024
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