Individual
DR. JERRY IRVING FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.A.
Contact information
Practice address
1040 WESTON RD, SUITE 200, WESTON, FL 33326-1978
(954) 389-7906
(954) 349-9181
Mailing address
1040 WESTON RD, SUITE 200, WESTON, FL 33326-1978
(954) 389-7906
(954) 349-9181
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3927
FL
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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