Provider Demographics
NPI:1467527093
Name:MOLERO, JOEBETH (DMD)
Entity Type:Individual
Prefix:
First Name:JOEBETH
Middle Name:
Last Name:MOLERO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9882 GLADES RD STE E6
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-3989
Mailing Address - Country:US
Mailing Address - Phone:561-482-2838
Mailing Address - Fax:561-482-7201
Practice Address - Street 1:9882 GLADES RD STE E6
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-3989
Practice Address - Country:US
Practice Address - Phone:561-482-2838
Practice Address - Fax:561-482-7201
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 167891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice