NPI 1013149517

Patricia Jaquez, DMD

Practitioner General Practice Dentistry Pembroke Pines, FL

Practice location

Address: 12297 Pembroke Rd, Pembroke Pines, FL 33025-1725
Phone: (954) 430-0308
Fax: (954) 438-5774

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN17593 (FL)

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Registry record

NPI: 1013149517
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2009
Record last updated: 17 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.