Organization
JAMILY F. PEDRO, DMD PA
Active
Other names
Aqua Dental Loft
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMILY F PEDRO DMD (OWNER)
(508) 939-0312
Entity
Organization
Contact information
Practice address
7050 W PALMETTO PARK RD, SUITE 52, BOCA RATON, FL 33433-3426
(561) 394-2592
(561) 394-3768
Mailing address
7050 W PALMETTO PARK RD, SUITE 52, BOCA RATON, FL 33433-3426
(561) 394-2592
(561) 394-3768
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19518
FL
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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