Organization
PAWEL D FOTEK DMD PLLC
Active
Other names
Prestige Periodontal and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAWEL D FOTEK (OWNER)
(561) 693-3236
Entity
Organization
Contact information
Practice address
11641 KEW GARDENS AVE, SUITE 209, PALM BEACH GARDENS, FL 33410-2763
(561) 693-3236
Mailing address
11641 KEW GARDENS AVE, SUITE 209, PALM BEACH GARDENS, FL 33410-2763
(561) 693-3236
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN18002
FL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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