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JACQUELINE MOLINA WASSERMAN P.A. NPI 1306080387


NPI Information

NPI: 1306080387
Provider Name: JACQUELINE MOLINA WASSERMAN P.A.

Doing Business As: FLORIDA GARDENS DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
7378 LAKE WORTH RD
LAKE WORTH, FL
ZIP 33467
Phone: (561) 968-7050
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JACQUELINE MOLINA WASSERMAN P.A. is a general practice dentist in Lake Worth, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JACQUELINE MOLINA WASSERMAN P.A. NPI is 1306080387. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Florida Gardens Dental Center.

The provider's business location address is:

7378 LAKE WORTH RD
LAKE WORTH, FL
ZIP 33467-529
Phone: (561) 968-7050
Fax: (561) 968-7068

The provider's authorized official is Jacqueline Molina Wasserman .
The authorized official title is Owner and has the following contact phone number (561) 968-7050.

The enumeration date for this NPI number is 4/22/2009 and was last updated on 4/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist17422FLORIDANo
21223S0112XDentistOral and Maxillofacial Surgery17306FLORIDANo
31223G0001XDentistGeneral Practice13861FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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