IndividualActive
Pawel Fotek, DMD
NPI 1336331693 · Periodontics · Palm Beach Gardens, FL
Provider details
- NPI number
- 1336331693
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- DN18002 (FL)
Specialties & taxonomies
Dental Providers
Practice location
11641 Kew Gardens Ave
Ste 209
Palm Beach Gardens, FL 33410-2846
Phone: (561) 693-3236
Approximate (ZIP-level) locationGet directions
Mailing address
11641 Kew Gardens Ave
Palm Beach Gardens, FL 33410-2846
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2017-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.