Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DN21220 | FL |
NPI | 1073099594 |
---|---|
Provider Name | Jesspreet Singh Parmar |
First Address | Naples, FL 34120-7812 |
Second Address | Port Orange, FL 32127-8950 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2018 |
Last Update Date | 17/07/2018 |