Organization
FREDRICK DENTAL, PA
Active
Other names
Jupiter Farms Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WAYNE FREDRICK D.D.S. (PRESIDENT)
(561) 743-6700
Entity
Organization
Contact information
Practice address
10156 W INDIANTOWN RD, JUPITER, FL 33478-4707
(561) 743-6700
(561) 743-9314
Mailing address
10156 W INDIANTOWN RD, JUPITER, FL 33478-4707
(561) 743-6700
(561) 743-9314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14300
FL
Other
Enumeration date
04/22/2007
Last updated
02/20/2008
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