| NPI | 1801014410 |
|---|---|
| Doing Business As | JUPITER FARMS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON WAYNE FREDRICK President 561-743-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14300) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2008-02-20 |