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Organization

JANELY PINERO FREDRICK

Active
Parent organization
FREDRICK DENTAL, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
FREDRICK DENTAL, PA
Authorized official
DR. JANELY CARIDAD PINERO FREDRICK DDS (DENTIST)
(561) 743-6700
Entity
Organization

Contact information

Practice address
10156 INDIANTOWN RD, JUPITER, FL 33478-4707
(561) 762-0776
(561) 743-9314
Mailing address
10156 INDIANTOWN RD, JUPITER, FL 33478-4707
(561) 762-0776
(561) 743-9314

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN14108
FL

Other

Enumeration date
11/04/2016
Last updated
11/04/2016
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