Provider Demographics
NPI:1225818412
Name:PARDO, JUAN FRANCISCO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUAN FRANCISCO
Middle Name:
Last Name:PARDO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ALTARA AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1482
Mailing Address - Country:US
Mailing Address - Phone:305-677-9062
Mailing Address - Fax:
Practice Address - Street 1:301 ALTARA AVE STE 107
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1482
Practice Address - Country:US
Practice Address - Phone:305-677-9062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL184661223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty