IVAN PELTON

PEMBROKE PINES, FL
NPI1235243189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: FL  dn15585)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: FL  DN5838)
Enumeration Date2006-08-18
Last Update Date2022-07-21
Business Address
-- IVAN PELTON
12558 PINES BLVD
PEMBROKE PINES, FL 33027-1713
Phone number: 954-639-6998
Mailing Address
-- IVAN PELTON
12558 PINES BLVD
PEMBROKE PINES, FL 33027-1713
Phone number: 954-639-6998