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Individual

JOHN ROBERT PASQUAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4600 LINTON BLVD, STE 220, DELRAY BEACH, FL 33445-6600
(561) 900-9080
(561) 900-9084
Mailing address
4600 LINTON BLVD, STE 220, DELRAY BEACH, FL 33445-6600
(561) 900-9080
(561) 900-9084

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17270
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN17270
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS030473L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011842730001
PA
Enumeration date
11/18/2005
Last updated
04/17/2017
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