Organization
JACQUELINE MOLINA WASSERMAN P.A.
Active
Other names
Florida Gardens Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MOLINA WASSERMAN DDS (OWNER)
(561) 968-7050
Entity
Organization
Contact information
Practice address
7378 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 968-7050
(561) 968-7068
Mailing address
7378 LAKE WORTH RD, LAKE WORTH, FL 33467-2529
(561) 968-7050
(561) 968-7068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17422
FL
1223G0001X
General Practice Dentistry
Primary
13861
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
17306
FL
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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