Individual
MR. JEFFREY PASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4030 SHERIDAN STREET, SUITE B, HOLLYWOOD, FL 33021-3536
(954) 966-6410
(954) 966-2094
Mailing address
4030 SHERIDAN STREET, SUITE B, HOLLYWOOD, FL 33021-3536
(954) 966-6410
(954) 966-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11503
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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