Organization
PABLO R PRADO, DMD, PA
Active
Other names
Prestige Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABLO R PRADO DMD (PRESIDENT)
(561) 707-1631
Entity
Organization
Contact information
Practice address
6169 S JOG RD STE B2, LAKE WORTH, FL 33467-6514
(561) 707-1631
Mailing address
5324 COURTNEY CIR, BOYNTON BEACH, FL 33472-1280
(561) 707-1631
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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