Individual
DR. JACQUELINE CEBALLOS CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
956 S MILITARY TRL, WEST PALM BEACH, FL 33415-3910
(561) 677-8874
Mailing address
111 E FRANKLIN AVE APT 203, MINNEAPOLIS, MN 55404-2574
(561) 506-0592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25822
FL
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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