Individual
DR. JEFFREY KIRK PACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 N MAITLAND AVE, MAITLAND, FL 32751-4772
(407) 647-1346
Mailing address
320 N MAITLAND AVE, MAITLAND, FL 32751-4772
(407) 647-1346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10590
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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