Organization
JEFFERSON M. PECORA DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON M PECORA DMD (PRESIDENT)
(321) 725-7644
Entity
Organization
Contact information
Practice address
2105 PALM BAY RD NE STE 4-5, PALM BAY, FL 32905-2937
(321) 725-7644
Mailing address
2105 PALM BAY RD NE STE 4-5, PALM BAY, FL 32905-2937
(321) 725-7644
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN13729
FL
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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