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Jaidev Pa
Dental Clinic/Center in Stuart, Florida
NPI 1245746395

Jaidev Pa is a Dental Clinic/Center based in Stuart, FL and is specialized in Dental. Jaidev Pa practices in Stuart, FL. The NPI Number for Jaidev Pa is 1245746395 and holds a License No. (Florida).

The current practice location address for Jaidev Pa is 6513 S Kanner Hwy, Stuart, FL and can be reached out via phone at 561-703-0219.

Location: 6513 S Kanner Hwy, Stuart, FL, 34997-6330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245746395
Provider Name
Jaidev Pa
Credential
Provider Entity Type
Organization
Address
6513 S Kanner Hwy, Stuart, FL, 34997-6330
Phone Number
561-703-0219
Fax Number
Provider Enumeration Date
12/26/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004444800 05 FL
institution
Provider Business Practice Location Address Details
Address
6513 S Kanner Hwy
City
Stuart
State
Florida
Zip
34997-6330
Phone Number
561-703-0219
Fax Number
person
Provider Business Mailing Address Details
Address
6513 S Kanner Hwy
City
Stuart
State
Florida
Zip
34997-6330
Phone Number
561-703-0219
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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