Organization
POMPANO BEACH PERIODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON A WITONSKY DMD (MANAGINGMEMBER)
(954) 782-7911
Entity
Organization
Contact information
Practice address
2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL 33062-1148
(954) 782-7911
(954) 782-7925
Mailing address
2231 NE 25TH AVE, SUITE 4, POMPANO BEACH, FL 33062-1148
(954) 782-7911
(954) 782-7925
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN18938
FL
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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